Provider First Line Business Practice Location Address:
50 ROWE ST
Provider Second Line Business Practice Location Address:
MELROSE MEDICAL CENTER, #700
Provider Business Practice Location Address City Name:
MELROSE
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02176-3201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
781-662-4380
Provider Business Practice Location Address Fax Number:
781-665-4795
Provider Enumeration Date:
12/13/2005