Provider First Line Business Practice Location Address:
64 ROBBINS ST
Provider Second Line Business Practice Location Address:
DEPT. OF EMERGENCY MEDICINE
Provider Business Practice Location Address City Name:
WATERBURY
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06721
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
646-279-6582
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/07/2007