Provider First Line Business Practice Location Address:
55 DIMOCK STREET
Provider Second Line Business Practice Location Address:
DIMOCK COMMUNITY HEALTH CTR
Provider Business Practice Location Address City Name:
ROXBURY
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02119
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-442-8800
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/01/2006