Provider First Line Business Practice Location Address:
333 SOUTH STREET
Provider Second Line Business Practice Location Address:
UMASS CORRECTIONAL HEALTH
Provider Business Practice Location Address City Name:
SHREWSBURY
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01545
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
78-425-4341
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/13/2008