Provider First Line Business Practice Location Address:
200 PROVIDENCE HIGHWAY
Provider Second Line Business Practice Location Address:
DEDHAM HEALTH AND ATHLETIC COMPLEX
Provider Business Practice Location Address City Name:
DEDHAM
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02026
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
781-326-0605
Provider Business Practice Location Address Fax Number:
781-326-7663
Provider Enumeration Date:
01/09/2007