Provider First Line Business Practice Location Address:
217 MADISON AVENUE
Provider Second Line Business Practice Location Address:
PENN MEDICINE VIRTUA MT. HOLLY NEUROSURGERY
Provider Business Practice Location Address City Name:
LUMBERTON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08048-2901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-829-6700
Provider Business Practice Location Address Fax Number:
215-829-6700
Provider Enumeration Date:
09/08/2005