Provider First Line Business Practice Location Address:
PEDIATRIC BPHC SCHOOL-BASED HEALTH
Provider Second Line Business Practice Location Address:
MADISON PARK HIGH SCHOOL-75 MALCOLM X BLVD
Provider Business Practice Location Address City Name:
ROXBURY
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02120
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-534-9951
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/20/2025