Provider First Line Business Practice Location Address:
254 EASTON AVE
Provider Second Line Business Practice Location Address:
SAINT PETER'S UNIVERSITY HOSPITAL
Provider Business Practice Location Address City Name:
NEW BRUNSWICK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08901-1766
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-745-8600
Provider Business Practice Location Address Fax Number:
732-745-9156
Provider Enumeration Date:
10/26/2006