Provider First Line Business Practice Location Address:
254 EASTON AVE.
Provider Second Line Business Practice Location Address:
PATHOLOGY DEPARTMENT
Provider Business Practice Location Address City Name:
NEW BRUNSWICK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08901-0890
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
856-488-6560
Provider Business Practice Location Address Fax Number:
856-488-6848
Provider Enumeration Date:
01/25/2007