Provider First Line Business Practice Location Address:
282 THE GREEN
Provider Second Line Business Practice Location Address:
UNIVERSITY OF DELAWARE, STUDENT HEALTH SERVICE
Provider Business Practice Location Address City Name:
NEWARK
Provider Business Practice Location Address State Name:
DE
Provider Business Practice Location Address Postal Code:
19716-8101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
302-831-2226
Provider Business Practice Location Address Fax Number:
302-831-4252
Provider Enumeration Date:
08/02/2005