Provider First Line Business Practice Location Address:
95 OLD SHORT HILLS RD
Provider Second Line Business Practice Location Address:
SAINT BARNABAS HEALTH CARE SYSTEM
Provider Business Practice Location Address City Name:
WEST ORANGE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07052
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-322-4011
Provider Business Practice Location Address Fax Number:
973-322-4074
Provider Enumeration Date:
04/29/2008