Provider First Line Business Practice Location Address:
YNHH 20 YORK STREET PEDIATRIC ED
Provider Second Line Business Practice Location Address:
20 YORK STREET
Provider Business Practice Location Address City Name:
NEW HAVEN
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06510-3202
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-688-2195
Provider Business Practice Location Address Fax Number:
203-688-2395
Provider Enumeration Date:
11/09/2017