Provider First Line Business Practice Location Address:
1125 TREMONT STREET
Provider Second Line Business Practice Location Address:
WHITTIER STREET HEALTH CENTER
Provider Business Practice Location Address City Name:
ROXBURY
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02120
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-989-3242
Provider Business Practice Location Address Fax Number:
617-989-3247
Provider Enumeration Date:
09/04/2008