Provider First Line Business Practice Location Address:
535 E CRESCENT AVE
Provider Second Line Business Practice Location Address:
C/O HISTOPATHOLOGY SERVICES, LLC
Provider Business Practice Location Address City Name:
RAMSEY
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07446-2922
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-661-7280
Provider Business Practice Location Address Fax Number:
201-661-7297
Provider Enumeration Date:
06/22/2006