Provider First Line Business Practice Location Address:
EAST ORANGE VA MEDICAL CENTER
Provider Second Line Business Practice Location Address:
TREMONT AVE
Provider Business Practice Location Address City Name:
EAST ORANGE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07018
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-676-1000
Provider Business Practice Location Address Fax Number:
973-395-7034
Provider Enumeration Date:
07/26/2006