Provider First Line Business Practice Location Address:
281 LINCOLN ST
Provider Second Line Business Practice Location Address:
DEPARTMENT OF PLASTIC & COSMETIC SURGERY
Provider Business Practice Location Address City Name:
WORCESTER
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01605-2138
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-856-5299
Provider Business Practice Location Address Fax Number:
508-334-5152
Provider Enumeration Date:
02/21/2006