Provider First Line Business Practice Location Address:
888 WASHINGTON BLVD
Provider Second Line Business Practice Location Address:
HEALTH DEPARTMENT
Provider Business Practice Location Address City Name:
STAMFORD
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06901-2152
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-977-4396
Provider Business Practice Location Address Fax Number:
203-977-5506
Provider Enumeration Date:
10/12/2007