Provider First Line Business Practice Location Address:
126 NORTH EAGLEVILLE ROAD
Provider Second Line Business Practice Location Address:
UCONN-PUBLIC SAFETY
Provider Business Practice Location Address City Name:
STORRS
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06269-3070
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-486-4878
Provider Business Practice Location Address Fax Number:
860-486-4677
Provider Enumeration Date:
10/23/2006