Provider First Line Business Practice Location Address: 
60 EAST ST
    Provider Second Line Business Practice Location Address: 
SUITE 1400 LOWE II ANESTHESIOLOGY SERVICE INC
    Provider Business Practice Location Address City Name: 
METHUEN
    Provider Business Practice Location Address State Name: 
MA
    Provider Business Practice Location Address Postal Code: 
01844
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
978-689-4601
    Provider Business Practice Location Address Fax Number: 
603-882-0556
    Provider Enumeration Date: 
07/18/2005