Provider First Line Business Practice Location Address:
855 LEHIGH AVENUE
Provider Second Line Business Practice Location Address:
ADVANCED SPINE SURGERY CENTER. SUITE 203
Provider Business Practice Location Address City Name:
UNION
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07083
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
347-358-4331
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/09/2017