Provider First Line Business Practice Location Address:
#5 W MARVIN AVENUE
Provider Second Line Business Practice Location Address:
CENTRAL UMC
Provider Business Practice Location Address City Name:
LINWOOD
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08221
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-927-4149
Provider Business Practice Location Address Fax Number:
609-927-9708
Provider Enumeration Date:
05/01/2008