Provider First Line Business Practice Location Address:
1401 ROUTE 70 EAST, SUITE 14
Provider Second Line Business Practice Location Address:
SOUTH JERSEY MEDICAL CENTER
Provider Business Practice Location Address City Name:
CHERRY HILL
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08034
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
856-216-1100
Provider Business Practice Location Address Fax Number:
856-216-0484
Provider Enumeration Date:
12/14/2006