Provider First Line Business Practice Location Address:
64 ROBBINS STREET, WATERBURY HOSPITAL CAMPUS, MAIN 3
Provider Second Line Business Practice Location Address:
YALE PRIMARY CARE PROGRAM
Provider Business Practice Location Address City Name:
WATERBURY
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06708
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-573-6162
Provider Business Practice Location Address Fax Number:
203-573-6707
Provider Enumeration Date:
12/24/2007