Provider First Line Business Practice Location Address:
54 SOUTH MAIN STREET
Provider Second Line Business Practice Location Address:
NEWTOWN CLINICAL SERVICES
Provider Business Practice Location Address City Name:
WATERBURY
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06710-2169
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-270-5564
Provider Business Practice Location Address Fax Number:
203-270-5514
Provider Enumeration Date:
10/23/2015