Provider First Line Business Practice Location Address:
BLDING 1075 STEPHENSON AVE
Provider Second Line Business Practice Location Address:
PATTERSON ARMY HEALTH CLINIC
Provider Business Practice Location Address City Name:
FT. MONMOUTH
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07703
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-532-3703
Provider Business Practice Location Address Fax Number:
732-532-6429
Provider Enumeration Date:
10/27/2005