Provider First Line Business Practice Location Address:
15 PARKMAN STREET, WACC 037
Provider Second Line Business Practice Location Address:
MASSACHUSETTS GENERAL HOSPITAL, SOCIAL SERVICE DEPT.
Provider Business Practice Location Address City Name:
BOSTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02114
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-643-2169
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/11/2023