Provider First Line Business Practice Location Address:
CHASE OUTPATIENT CENTER
Provider Second Line Business Practice Location Address:
160 ROBBINS STREET
Provider Business Practice Location Address City Name:
WATERBURY
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06708
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-573-7284
Provider Business Practice Location Address Fax Number:
203-573-7031
Provider Enumeration Date:
07/05/2022