Provider First Line Business Practice Location Address:
831 ROUTE 10 EAST
Provider Second Line Business Practice Location Address:
MAXIMUM HEALTH AND WELLNESS CENTER LLC
Provider Business Practice Location Address City Name:
WHIPPANY
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07981
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-479-2241
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/19/2017