Provider First Line Business Practice Location Address:
635 MAIN STREET
Provider Second Line Business Practice Location Address:
COMMUNITY HEALTH CENTER - MEDICAL
Provider Business Practice Location Address City Name:
MIDDLETOWN
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06450
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-347-6971
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/23/2005