Provider First Line Business Practice Location Address:
100 GRAND STREET HOSPITAL OF CENTRAL CONNECTICUT
Provider Second Line Business Practice Location Address:
AMBULATORY MEDICINE CLINIC ABULATORY WEST
Provider Business Practice Location Address City Name:
NEW BRITAIN
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06052
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-224-5261
Provider Business Practice Location Address Fax Number:
860-224-5957
Provider Enumeration Date:
06/12/2025