Provider First Line Business Practice Location Address:
YALE MEDICAL SCHOOL
Provider Second Line Business Practice Location Address:
333 CEDAR STREET
Provider Business Practice Location Address City Name:
NEW HAVEN
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06510-0651
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
240-506-4208
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/15/2006