Provider First Line Business Practice Location Address: 
NORTH SHORE MEDICAL CENTER
    Provider Second Line Business Practice Location Address: 
81 HIGHLAND AVENUE
    Provider Business Practice Location Address City Name: 
SALEM
    Provider Business Practice Location Address State Name: 
MA
    Provider Business Practice Location Address Postal Code: 
01970
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
978-741-1200
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
08/02/2011