Provider First Line Business Practice Location Address:
33 HIGHLAND STREET
Provider Second Line Business Practice Location Address:
NEW BRITAIN GENERAL HOSPITAL
Provider Business Practice Location Address City Name:
NEW BRITAIN
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06050
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-224-9919
Provider Business Practice Location Address Fax Number:
860-612-0009
Provider Enumeration Date:
10/06/2006