Provider First Line Business Practice Location Address:
789 HOWARD AVE.
Provider Second Line Business Practice Location Address:
YALE NEW HAVEN HOSPITAL PEDIATRIC PRIMARY CARE CENTER
Provider Business Practice Location Address City Name:
NEW HAVEN
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06510
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-737-5432
Provider Business Practice Location Address Fax Number:
203-737-5710
Provider Enumeration Date:
01/03/2007