Provider First Line Business Practice Location Address:
60 WASHINGTON AVENUE
Provider Second Line Business Practice Location Address:
SUITE 203 GERIATRIC AND ADULT PSYCHIATRY LLC
Provider Business Practice Location Address City Name:
HAMDEN
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06518-3272
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-288-0414
Provider Business Practice Location Address Fax Number:
203-288-3655
Provider Enumeration Date:
08/04/2006