Provider First Line Business Practice Location Address:
703 MAIN STREET
Provider Second Line Business Practice Location Address:
PEDIATRICS DEPARTMENT - PICU
Provider Business Practice Location Address City Name:
PATERSON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07503-0750
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-754-2560
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/14/2017