Provider First Line Business Practice Location Address:
1200 PARK AVE AND RANDOLPH ROAD
Provider Second Line Business Practice Location Address:
DEPT OF PATHOLOGY
Provider Business Practice Location Address City Name:
PLAINFIELD
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07061-1272
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-668-2270
Provider Business Practice Location Address Fax Number:
908-226-4540
Provider Enumeration Date:
06/13/2006