Provider First Line Business Practice Location Address:
57 HIGHLAND AVE
Provider Second Line Business Practice Location Address:
NO SHORE CHILDRENS HOSPITAL
Provider Business Practice Location Address City Name:
SALEM
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01970-2141
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
978-741-1215
Provider Business Practice Location Address Fax Number:
978-740-4748
Provider Enumeration Date:
02/13/2006