Provider First Line Business Practice Location Address:
1115 WEST ST
Provider Second Line Business Practice Location Address:
UCONN MEDICAL GROUP
Provider Business Practice Location Address City Name:
SOUTHINGTON
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06489-6025
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-276-6000
Provider Business Practice Location Address Fax Number:
860-276-6059
Provider Enumeration Date:
12/14/2011