Provider First Line Business Practice Location Address:
201 LYONS AVE
Provider Second Line Business Practice Location Address:
NEWARK BETH ISRAEL MEDICAL CENTER - BLDG. D-3
Provider Business Practice Location Address City Name:
NEWARK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07112-2027
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-926-8088
Provider Business Practice Location Address Fax Number:
973-926-8571
Provider Enumeration Date:
08/01/2006