Provider First Line Business Practice Location Address:
2443 PLAINFIELD AVENUE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SOUTH PLAINFIELD
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07080
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-755-9318
Provider Business Practice Location Address Fax Number:
908-755-9997
Provider Enumeration Date:
07/27/2006