Provider First Line Business Practice Location Address:
1719 LINCOLN HIGHWAY
Provider Second Line Business Practice Location Address:
EDISON HEALTHCARE CENTER
Provider Business Practice Location Address City Name:
EDISON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08817
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-339-0328
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/12/2013