Provider First Line Business Practice Location Address:
PRIMARY CARE INTERNAL MEDICINE
Provider Second Line Business Practice Location Address:
UCONN HEALTH CENTER 263 FARMINGTON AVE.
Provider Business Practice Location Address City Name:
FARMINGTON
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06030-1234
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-679-4017
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/22/2013