Provider First Line Business Practice Location Address:
PARK AVE. & RANDOLPH RD.
Provider Second Line Business Practice Location Address:
DEPT. OF MED ED - MUHLENBERG HOSPITAL
Provider Business Practice Location Address City Name:
PLAINFIELD
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07061
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-668-2030
Provider Business Practice Location Address Fax Number:
908-226-4543
Provider Enumeration Date:
09/29/2006