Provider First Line Business Practice Location Address:
114 WHITWELL ST
Provider Second Line Business Practice Location Address:
QUINCY MEDICAL CENTER, FOOD AND NUTRITION DEPT
Provider Business Practice Location Address City Name:
QUINCY
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02169-1870
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-376-5386
Provider Business Practice Location Address Fax Number:
671-376-7605
Provider Enumeration Date:
10/25/2006