Provider First Line Business Practice Location Address:
72 WEST ST
Provider Second Line Business Practice Location Address:
DANBURY CLINICIAL SERVICES
Provider Business Practice Location Address City Name:
DANBURY
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06810
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-797-9778
Provider Business Practice Location Address Fax Number:
203-797-9858
Provider Enumeration Date:
07/28/2013