Provider First Line Business Practice Location Address:
2500 BRUNSWICK PIKE, SUITE 101A
Provider Second Line Business Practice Location Address:
PROFESSIONAL HEALTHCARE SERVICES OF LAWRENCEVILLE
Provider Business Practice Location Address City Name:
LAWRENCEVILLE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08648-4134
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-771-6660
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/11/2006