Provider First Line Business Practice Location Address:
718 TEANECK ROAD
Provider Second Line Business Practice Location Address:
HOLY NAME MEDICAL CENTER, REGIONAL CANCER CENTER
Provider Business Practice Location Address City Name:
TEANECK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07666-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-227-6065
Provider Business Practice Location Address Fax Number:
201-227-6295
Provider Enumeration Date:
03/30/2006