Provider First Line Business Practice Location Address:
471 CENTER ST
Provider Second Line Business Practice Location Address:
KIDNEY TREATMENT CENTER OF PHILLIPSBURG - CKD SERVICES
Provider Business Practice Location Address City Name:
PHILLIPSBURG
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08865-2663
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-454-7440
Provider Business Practice Location Address Fax Number:
908-454-9050
Provider Enumeration Date:
10/13/2006