Provider First Line Business Practice Location Address:
254 EASTON AVE, MOB 2ND FLOOR
Provider Second Line Business Practice Location Address:
ST. PETERS UNIVERSITY HOSPITAL
Provider Business Practice Location Address City Name:
NEW BRUNSWICK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08907
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-745-8600
Provider Business Practice Location Address Fax Number:
732-937-9428
Provider Enumeration Date:
05/15/2008