Provider First Line Business Practice Location Address:
73 HIGH ST
Provider Second Line Business Practice Location Address:
MASS GENERAL HOSPITAL CHARLESTOWN HEALTHCARE CENTER
Provider Business Practice Location Address City Name:
CHARLESTOWN
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02129
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-724-8311
Provider Business Practice Location Address Fax Number:
617-724-8010
Provider Enumeration Date:
11/14/2006