Provider First Line Business Practice Location Address:
65 JAMES STREET
Provider Second Line Business Practice Location Address:
JFK JOHNSON REHABILITATION INSTITUTE
Provider Business Practice Location Address City Name:
EDISON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08818
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-578-7994
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/13/2007