Provider First Line Business Practice Location Address:
230 SOUTH FRONTAGE ROAD
Provider Second Line Business Practice Location Address:
YALE UNIVERSITY CHILD STUDY CENTER
Provider Business Practice Location Address City Name:
NEW HAVEN
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06520-7900
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-785-5880
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/05/2006