Provider First Line Business Practice Location Address:
950 CAMPBELL AVENUE
Provider Second Line Business Practice Location Address:
VA CONNECTICUT HEALTHCARE SYSTEM - WEST HAVEN CAMPUS
Provider Business Practice Location Address City Name:
WEST HAVEN
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06516
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-932-5711
Provider Business Practice Location Address Fax Number:
203-937-3868
Provider Enumeration Date:
03/26/2007