Provider First Line Business Practice Location Address:
736 CAMBRIDGE ST.
Provider Second Line Business Practice Location Address:
EMERGENCY DEPARTMENT, ST. ELIZABETH'S MEDICAL CENTER
Provider Business Practice Location Address City Name:
BRIGHTON
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:
646-643-6707
Provider Business Practice Location Address Fax Number:
617-789-3338
Provider Enumeration Date:
07/24/2008