Provider First Line Business Practice Location Address:
703 MAIN ST
Provider Second Line Business Practice Location Address:
ST JOSEPH REGIONAL HOSPITAL CENTER, DEPT OF MEDICINE
Provider Business Practice Location Address City Name:
PATERSON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07503-2621
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-754-2476
Provider Business Practice Location Address Fax Number:
973-754-3376
Provider Enumeration Date:
06/05/2010