Provider First Line Business Practice Location Address:
1 GENERAL ST
Provider Second Line Business Practice Location Address:
ANDREA SULLIVAN-DIRECTOR OF MANAGED CARE DEPT.
Provider Business Practice Location Address City Name:
LAWRENCE
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01841-2961
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
978-683-4000
Provider Business Practice Location Address Fax Number:
978-946-8026
Provider Enumeration Date:
12/16/2005