Provider First Line Business Practice Location Address:
15 PARKMAN STREET
Provider Second Line Business Practice Location Address:
WAC605 INTERNAL MEDICINE ASSOCIATES TEAM 2
Provider Business Practice Location Address City Name:
BOSTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02114-3117
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-724-8400
Provider Business Practice Location Address Fax Number:
617-724-0331
Provider Enumeration Date:
12/30/2005