Provider First Line Business Practice Location Address:
114 WOODLAND STREET
Provider Second Line Business Practice Location Address:
DEPARTMENT OF PATHOLOGY
Provider Business Practice Location Address City Name:
HARTFORD
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06105
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-714-4280
Provider Business Practice Location Address Fax Number:
860-714-8021
Provider Enumeration Date:
03/20/2006