Provider First Line Business Practice Location Address:
70 PLATT ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ANSONIA
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-735-2244
Provider Business Practice Location Address Fax Number:
203-735-2273
Provider Enumeration Date:
12/01/2008