Provider First Line Business Practice Location Address:
950 CAMPBELL AVE
Provider Second Line Business Practice Location Address:
EMERGENCY ROOM/11C
Provider Business Practice Location Address City Name:
WEST HAVEN
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06516-2770
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-937-4777
Provider Business Practice Location Address Fax Number:
203-937-4854
Provider Enumeration Date:
10/10/2006