Provider First Line Business Practice Location Address:
56 FRANKLIN ST
Provider Second Line Business Practice Location Address:
SAINT MARY'S HOSPITAL DEPARTMENT OF EMERGENCY MEDICINE
Provider Business Practice Location Address City Name:
WATERBURY
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06706-1253
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-709-6004
Provider Business Practice Location Address Fax Number:
203-709-3710
Provider Enumeration Date:
07/03/2009