Provider First Line Business Practice Location Address:
15 PARKMAN STREET WAC 108
Provider Second Line Business Practice Location Address:
MEDICAL WALK IN UNIT
Provider Business Practice Location Address City Name:
BOSTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02114-3117
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-726-2707
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/09/2006