Provider First Line Business Practice Location Address:
166 LYONS AVE
Provider Second Line Business Practice Location Address:
FAMILY HEALTH CENTER PEDIATRICS
Provider Business Practice Location Address City Name:
NEWARK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07112
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-926-3787
Provider Business Practice Location Address Fax Number:
973-923-2978
Provider Enumeration Date:
08/02/2006