Provider First Line Business Practice Location Address:
ABJ SURGERY CENTER
Provider Second Line Business Practice Location Address:
104 ST MATTHEWS AVE
Provider Business Practice Location Address City Name:
SAN MATEO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-637-9956
Provider Business Practice Location Address Fax Number:
415-681-3641
Provider Enumeration Date:
04/04/2006