Provider First Line Business Practice Location Address:
65 W. JIMMIE LEEDS ROAD
Provider Second Line Business Practice Location Address:
ATLANTICARE REGIONAL MEDICAL CENTER
Provider Business Practice Location Address City Name:
GALLOWAY
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08240
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-748-4018
Provider Business Practice Location Address Fax Number:
609-404-3889
Provider Enumeration Date:
04/21/2009