Provider First Line Business Practice Location Address:
564 MAIN STREET
Provider Second Line Business Practice Location Address:
JOSEPH M. SMITH COMMUNITY HEALTH CENTER
Provider Business Practice Location Address City Name:
WALTHAM
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02452
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-783-0500
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/22/2006