Provider First Line Business Practice Location Address:
468 BIRDSEYE ST
Provider Second Line Business Practice Location Address:
STRATFORD HEALTH DEPARTMENT
Provider Business Practice Location Address City Name:
STRATFORD
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06615-6976
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-385-4090
Provider Business Practice Location Address Fax Number:
203-381-2048
Provider Enumeration Date:
02/22/2012