Provider First Line Business Practice Location Address:
1 LINEBROOK RD
Provider Second Line Business Practice Location Address:
THE IPSWICH CENTER, INC.
Provider Business Practice Location Address City Name:
IPSWICH
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01938
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
978-356-4297
Provider Business Practice Location Address Fax Number:
978-356-5091
Provider Enumeration Date:
01/06/2016