Provider First Line Business Practice Location Address:
1925 PACIFIC AVENUE
Provider Second Line Business Practice Location Address:
ATLANTIC REGIONAL MEDICAL CENTER
Provider Business Practice Location Address City Name:
ATLANTIC CIRY
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08401-6713
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-441-8182
Provider Business Practice Location Address Fax Number:
609-441-8178
Provider Enumeration Date:
11/04/2016