Provider First Line Business Practice Location Address:
226 MILL HILL AVE
Provider Second Line Business Practice Location Address:
BRIDGEPORT HOSPITAL INDUSTRIAL MEDICINE CENTER
Provider Business Practice Location Address City Name:
BRIDGEPORT
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06610-0120
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-384-3613
Provider Business Practice Location Address Fax Number:
203-384-4234
Provider Enumeration Date:
02/22/2006