Provider First Line Business Practice Location Address: 
168 S MAIN ST
    Provider Second Line Business Practice Location Address: 
    Provider Business Practice Location Address City Name: 
TORRINGTON
    Provider Business Practice Location Address State Name: 
CT
    Provider Business Practice Location Address Postal Code: 
06790-6448
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
860-482-7600
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
02/11/2011