Provider First Line Business Practice Location Address:
640 BOLTON STREET
Provider Second Line Business Practice Location Address:
KIDNEY & HYPERTENSION CLINIC INC.
Provider Business Practice Location Address City Name:
MARLBOROUGH
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01752
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-281-5953
Provider Business Practice Location Address Fax Number:
508-229-2343
Provider Enumeration Date:
05/03/2006