Provider First Line Business Practice Location Address:
789 HOWARD AVE
Provider Second Line Business Practice Location Address:
YALE NEW HAVEN HOSPITAL- BASEMENT
Provider Business Practice Location Address City Name:
NEW HAVEN
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06519-1304
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-688-5555
Provider Business Practice Location Address Fax Number:
203-785-3932
Provider Enumeration Date:
11/22/2005