Provider First Line Business Practice Location Address:
55 FRUIT STREET
Provider Second Line Business Practice Location Address:
WRN 2 PATHOLOGY ASSOCIATES
Provider Business Practice Location Address City Name:
BOSTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02114-2696
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-726-5155
Provider Business Practice Location Address Fax Number:
617-726-9353
Provider Enumeration Date:
02/08/2006