Provider First Line Business Practice Location Address:
10 E MAIN ST
Provider Second Line Business Practice Location Address:
STE A HOLLY CITY PEDIATRICS PA RIVERVIEW COMMERECE CENT
Provider Business Practice Location Address City Name:
MILLVILLE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08332
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-825-5932
Provider Business Practice Location Address Fax Number:
856-825-4819
Provider Enumeration Date:
09/15/2006