Provider First Line Business Practice Location Address:
1678 ASYLUM AVE
Provider Second Line Business Practice Location Address:
SAINT JOSEPH COLLEGE HEALTH SERVICES
Provider Business Practice Location Address City Name:
WEST HARTFORD
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06117-2764
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-231-5530
Provider Business Practice Location Address Fax Number:
860-231-6794
Provider Enumeration Date:
06/24/2008