Provider First Line Business Practice Location Address:
315 FRANKLIN AVE., NUTLEY PUBLIC SCHOOLS
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NUTLEY
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07110-2734
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-667-8797
Provider Business Practice Location Address Fax Number:
973-320-8475
Provider Enumeration Date:
04/22/2013