Provider First Line Business Practice Location Address:
140 FRANKLINE TPKE
Provider Second Line Business Practice Location Address:
VALLEY HEALTH MEDICAL GROUP
Provider Business Practice Location Address City Name:
WALDWICK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07463
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-447-3603
Provider Business Practice Location Address Fax Number:
201-447-5184
Provider Enumeration Date:
06/14/2006