Provider First Line Business Practice Location Address:
BMC DORCHESTER DIVISION, COURT CLINIC
Provider Second Line Business Practice Location Address:
510 WASHINGTON ST
Provider Business Practice Location Address City Name:
DORCHESTER
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02124
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-288-9500
Provider Business Practice Location Address Fax Number:
617-288-2360
Provider Enumeration Date:
10/24/2006