Provider First Line Business Practice Location Address:
1 SOUTH PROSPECT STREET
Provider Second Line Business Practice Location Address:
UHC CAMPUS
Provider Business Practice Location Address City Name:
BURLINGTON
Provider Business Practice Location Address State Name:
VT
Provider Business Practice Location Address Postal Code:
05401-5505
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
802-847-0000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/11/2012