Provider First Line Business Practice Location Address:
UCONN HEALTH IM ASSOCIATES
Provider Second Line Business Practice Location Address:
263 FARMINGTON AVE, OP 2 WEST
Provider Business Practice Location Address City Name:
FARMINGTON
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06032
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-679-4477
Provider Business Practice Location Address Fax Number:
860-679-1025
Provider Enumeration Date:
07/17/2019