Provider First Line Business Practice Location Address:
330 CEDAR STREET, #208058
Provider Second Line Business Practice Location Address:
DEPARTMENT OF UROLOGY, YALE SCHOOL OF MEDICINE
Provider Business Practice Location Address City Name:
NEW HAVEN
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06520-8058
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-785-2815
Provider Business Practice Location Address Fax Number:
203-785-4043
Provider Enumeration Date:
01/29/2008