Provider First Line Business Practice Location Address:
2130 MILLBURN AVENUE
Provider Second Line Business Practice Location Address:
PEDIATRIC SURGERY GROUP
Provider Business Practice Location Address City Name:
MAPLEWOOD
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07040
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
888-287-3652
Provider Business Practice Location Address Fax Number:
973-549-6079
Provider Enumeration Date:
06/03/2006