Provider First Line Business Practice Location Address:
MSU CENTER FOR AUDIOLOGY AND SPEECH LANGUAGE PATHOLOGY
Provider Second Line Business Practice Location Address:
1515 BROAD STREET
Provider Business Practice Location Address City Name:
BLOOMFIELD
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07003
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-655-3934
Provider Business Practice Location Address Fax Number:
973-655-7752
Provider Enumeration Date:
04/01/2008