Provider First Line Business Practice Location Address:
364 E MAIN ST
Provider Second Line Business Practice Location Address:
YALE PODIATRY GROUP PC
Provider Business Practice Location Address City Name:
ANSONIA
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06401-1904
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-734-4806
Provider Business Practice Location Address Fax Number:
203-734-8265
Provider Enumeration Date:
08/11/2006