Provider First Line Business Practice Location Address:
6 INDUSTRIAL WAY W
Provider Second Line Business Practice Location Address:
ST B HYPERTENSION & NEPHROLOGY ASSOC
Provider Business Practice Location Address City Name:
EATONTOWN
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07724-2268
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-460-1200
Provider Business Practice Location Address Fax Number:
732-460-1211
Provider Enumeration Date:
07/31/2006