NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1003450347 |   |   |   | FAIR HAVEN COMMUNITY HEALTH CLINIC INC. | 374 GRAND AVE | NEW HAVEN | CT | 065133733 |
1447767934 |   |   |   | FAIR HAVEN COMMUNITY HEALTH CLINIC, INC | 374 GRAND AVE | NEW HAVEN | CT | 065133733 |
1407023252 | BOATRIGHT | RENU | RACHEL OUSEPH |   | 374 GRAND AVE | NEW HAVEN | CT | 065133733 |