Provider First Line Business Practice Location Address:
1811 SPRINGFIELD AVENUE
Provider Second Line Business Practice Location Address:
SUMMIT RADIOLOGICAL ASSOCIATES
Provider Business Practice Location Address City Name:
NEW PROVIDENCE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07974
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
917-502-9416
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/23/2008