Provider First Line Business Practice Location Address:
UCONN MEDICAL GROUP
Provider Second Line Business Practice Location Address:
263 FARMINGTON AVE
Provider Business Practice Location Address City Name:
FARMINGTON
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06030-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-679-2784
Provider Business Practice Location Address Fax Number:
860-679-0136
Provider Enumeration Date:
11/30/2006