Provider First Line Business Practice Location Address:
6 DEVINE ST, SUITE 2B
Provider Second Line Business Practice Location Address:
YALE NEUROLOGY
Provider Business Practice Location Address City Name:
NORTH HAVEN
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06473
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-785-5602
Provider Business Practice Location Address Fax Number:
203-737-6375
Provider Enumeration Date:
05/28/2010