Provider First Line Business Practice Location Address:
20 YORK ST.
Provider Second Line Business Practice Location Address:
YALE UNIVERSITY SECTION OF GENERAL INTERNAL MEDICINE
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-688-6532
Provider Business Practice Location Address Fax Number:
203-688-1198
Provider Enumeration Date:
10/03/2006