Provider First Line Business Practice Location Address:
30 BOSTON ST
Provider Second Line Business Practice Location Address:
NORTH SHORE MEDICAL CENTER
Provider Business Practice Location Address City Name:
LYNN
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01904
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
781-599-3109
Provider Business Practice Location Address Fax Number:
781-599-3162
Provider Enumeration Date:
12/12/2006