Provider First Line Business Practice Location Address:
FENWAY COMM. HEALTH
Provider Second Line Business Practice Location Address:
7 HAVILAND STREET
Provider Business Practice Location Address City Name:
BOSTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02115
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-927-6296
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/01/2006