Provider First Line Business Practice Location Address:
NE MED CENTER HOSPITAL
Provider Second Line Business Practice Location Address:
750 WASHINGTON STREET, BOX #311
Provider Business Practice Location Address City Name:
BOSTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02111
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-636-4720
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/30/2007