Provider First Line Business Practice Location Address:
234 GLENBROOK ROAD
Provider Second Line Business Practice Location Address:
UNIT 2011 UNIVERISITY OF CONNECTICUT STUDENT HEALTH
Provider Business Practice Location Address City Name:
STORRS
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06269-2011
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-486-4700
Provider Business Practice Location Address Fax Number:
860-486-0004
Provider Enumeration Date:
03/07/2007