Provider First Line Business Practice Location Address:
EAST ORANGE GENERAL HOSPITAL 33 EVERGREEN PLACE
Provider Second Line Business Practice Location Address:
2ND FLOOR CAPS PROGRAM
Provider Business Practice Location Address City Name:
EAST ORANGE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07018-2166
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-414-6740
Provider Business Practice Location Address Fax Number:
973-414-6730
Provider Enumeration Date:
11/29/2006