Provider First Line Business Practice Location Address:
736 CAMBRIDGE STREET
Provider Second Line Business Practice Location Address:
CARITAS SAINT ELIZABETH MEDICAL CENTER
Provider Business Practice Location Address City Name:
BOSTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02135
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-571-5915
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/04/2007