Provider First Line Business Practice Location Address:
135 RARITAN CENTER PKWY
Provider Second Line Business Practice Location Address:
CONCENTRA MEDICAL CENTER
Provider Business Practice Location Address City Name:
EDISON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08837-3625
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-225-5454
Provider Business Practice Location Address Fax Number:
732-417-0003
Provider Enumeration Date:
06/23/2006