Provider First Line Business Practice Location Address:
11 BISHOP PLACE
Provider Second Line Business Practice Location Address:
HURTADO HEALTH CENTER
Provider Business Practice Location Address City Name:
NEW BRUNSWICK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-832-7402
Provider Business Practice Location Address Fax Number:
732-932-8255
Provider Enumeration Date:
03/05/2007