Provider First Line Business Practice Location Address:
789 HOWARD AVE
Provider Second Line Business Practice Location Address:
YALE MEDICAL GROUP PRIMARY CARE CLINIC
Provider Business Practice Location Address City Name:
NEW HAVEN
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06519-1304
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-785-2987
Provider Business Practice Location Address Fax Number:
203-737-3306
Provider Enumeration Date:
08/07/2006