Provider First Line Business Practice Location Address:
YALE UNIVERSITY
Provider Second Line Business Practice Location Address:
330 CEDAR STREET, BOARDMAN BUILDING 204
Provider Business Practice Location Address City Name:
NEW HAVEN
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06510
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-388-8899
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/25/2008