Provider First Line Business Practice Location Address:
73 HIGH ST
Provider Second Line Business Practice Location Address:
MGH CHARLESTOWN HEALTH CENTER
Provider Business Practice Location Address City Name:
CHARLESTOWN
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02129-3026
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-724-8135
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/25/2007