Provider First Line Business Practice Location Address:
27 LEWIS AVE
Provider Second Line Business Practice Location Address:
ORTHOPEDICS AND SPORTS MEDICINE OF FAIRVIEW HOSPITAL
Provider Business Practice Location Address City Name:
GT BARRINGTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01230-2717
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-854-9753
Provider Business Practice Location Address Fax Number:
413-854-9732
Provider Enumeration Date:
05/16/2006