Provider First Line Business Practice Location Address:
UCONN HEALTH CTR
Provider Second Line Business Practice Location Address:
263 FARMINGTON AVE
Provider Business Practice Location Address City Name:
FARMINGTON
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06030-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-943-2400
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/01/2011