Provider First Line Business Practice Location Address:
60 LAFAYETTE
Provider Second Line Business Practice Location Address:
UNIVERSITY OF BRIDGEPORT COLLEGE OF NATUROPATHIC MEDICI
Provider Business Practice Location Address City Name:
BRIDGEPORT
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06604
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-576-4124
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/23/2008