Provider First Line Business Practice Location Address:
17-10 FAIR LAWN AVE.
Provider Second Line Business Practice Location Address:
NORTH JERSEY PEDIATRICS
Provider Business Practice Location Address City Name:
FAIR LAWN
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07410
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-794-8585
Provider Business Practice Location Address Fax Number:
201-703-9889
Provider Enumeration Date:
08/19/2009