Provider First Line Business Practice Location Address:
PEDIATRICS & ADOLESCENT CLINIC
Provider Second Line Business Practice Location Address:
210 HAMBURG TPK
Provider Business Practice Location Address City Name:
WAYNE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07470
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-942-9191
Provider Business Practice Location Address Fax Number:
973-942-7111
Provider Enumeration Date:
09/07/2006