Provider First Line Business Practice Location Address:
759 GRANITE ST
Provider Second Line Business Practice Location Address:
SOUTH SHORE HEALTH CENTER
Provider Business Practice Location Address City Name:
BRAINTREE
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02184
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
781-848-1950
Provider Business Practice Location Address Fax Number:
781-356-4887
Provider Enumeration Date:
01/25/2006