Provider First Line Business Practice Location Address:
90 LIBBEY PKWY SUITE 100
Provider Second Line Business Practice Location Address:
SOUTH SHORE HOSPITAL CENTER FOR WOUND HEALING
Provider Business Practice Location Address City Name:
WEYMOUTH
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02189
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
781-624-4950
Provider Business Practice Location Address Fax Number:
877-892-9770
Provider Enumeration Date:
02/23/2006