Provider First Line Business Practice Location Address:
71 HAYNES ST
Provider Second Line Business Practice Location Address:
ECHN CENTER FOR WOUND HEALING
Provider Business Practice Location Address City Name:
MANCHESTER
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06040-4131
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-533-2903
Provider Business Practice Location Address Fax Number:
860-533-2928
Provider Enumeration Date:
06/21/2008