Provider First Line Business Practice Location Address:
1 EAST NEW YORK AVE
Provider Second Line Business Practice Location Address:
SHORE MEMORIAL HOSPITAL - CHOP CONNECTION
Provider Business Practice Location Address City Name:
SOMERS POINT
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08244
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-926-4258
Provider Business Practice Location Address Fax Number:
215-561-0959
Provider Enumeration Date:
08/04/2006