Provider First Line Business Practice Location Address:
184 LIBERTY ST
Provider Second Line Business Practice Location Address:
YALE-NEW HAVEN HOSPITAL
Provider Business Practice Location Address City Name:
NEW HAVEN
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06519-1625
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-688-9779
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/07/2010