Provider First Line Business Practice Location Address:
495 PASSAIC AVE
Provider Second Line Business Practice Location Address:
HEALTH CENTER
Provider Business Practice Location Address City Name:
WEST CALDWELL
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07006
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-276-7887
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/13/2023