Provider First Line Business Practice Location Address:
65 WEST JIMMIE LEEDS ROAD
Provider Second Line Business Practice Location Address:
ATLANTICARE REGIONAL MEDICAL CENTER
Provider Business Practice Location Address City Name:
GALLOWAY
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08205
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
606-569-1000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/20/2013