Provider First Line Business Practice Location Address:
55 FRUIT STREET
Provider Second Line Business Practice Location Address:
DEPT OF RADIOLOGY MASSACHUSETTS GENERAL HOSPITAL
Provider Business Practice Location Address City Name:
BOSTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02114
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-724-4255
Provider Business Practice Location Address Fax Number:
617-726-3077
Provider Enumeration Date:
06/14/2007