Provider First Line Business Practice Location Address:
2219 NEWARK AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SCOTCH PLAINS
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07076-4672
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-591-0322
Provider Business Practice Location Address Fax Number:
908-591-0322
Provider Enumeration Date:
01/26/2026