Provider First Line Business Practice Location Address:
175 BERKELEY ST
Provider Second Line Business Practice Location Address:
LIBERTY HEALTH CENTER
Provider Business Practice Location Address City Name:
BOSTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02116-5066
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
857-224-9355
Provider Business Practice Location Address Fax Number:
857-224-9300
Provider Enumeration Date:
01/09/2009