Provider First Line Business Practice Location Address: 
1801 N ROUTE 9
    Provider Second Line Business Practice Location Address: 
HOLY REDEEMER HEALTH SYSTEMS
    Provider Business Practice Location Address City Name: 
CAPE MAY COURT HOUSE
    Provider Business Practice Location Address State Name: 
NJ
    Provider Business Practice Location Address Postal Code: 
08210-1436
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
609-463-6071
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
06/29/2005