Provider First Line Business Practice Location Address:
52 COURTLAND ST.
Provider Second Line Business Practice Location Address:
2ND FLOOR
Provider Business Practice Location Address City Name:
PATERSON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07503-2947
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-278-7570
Provider Business Practice Location Address Fax Number:
973-278-7797
Provider Enumeration Date:
05/02/2007