Provider First Line Business Practice Location Address:
45 CRESCENT STREET
Provider Second Line Business Practice Location Address:
MIDDLESEX HOSPITAL DEPARTMENT OF EMERGENCY MEDICINE
Provider Business Practice Location Address City Name:
MIDDLETOWN
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06457
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-358-6693
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/04/2012