Provider First Line Business Practice Location Address:
282 WASHINGTON STREET
Provider Second Line Business Practice Location Address:
PEDIATRIC INTENSIVE CARE UNIT
Provider Business Practice Location Address City Name:
HARTFORD
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06106
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-837-5455
Provider Business Practice Location Address Fax Number:
727-767-4970
Provider Enumeration Date:
09/23/2005