Provider First Line Business Practice Location Address:
60 GRANITE STREET
Provider Second Line Business Practice Location Address:
BAYRIDGE HOSPITAL
Provider Business Practice Location Address City Name:
LYNN
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01904
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
781-599-9200
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/01/2006