Provider First Line Business Practice Location Address:
UNIVERSITY OF CONNECTICUT
Provider Second Line Business Practice Location Address:
234 GLENBROOK ROAD UNIT 2011
Provider Business Practice Location Address City Name:
STORRS
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06269-2011
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-486-3357
Provider Business Practice Location Address Fax Number:
860-486-0792
Provider Enumeration Date:
04/11/2012