Provider First Line Business Practice Location Address:
150 BERGEN ST
Provider Second Line Business Practice Location Address:
UNIVERSITY HOSPITAL, ROOM I-354
Provider Business Practice Location Address City Name:
NEWARK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07103-2496
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-973-6111
Provider Business Practice Location Address Fax Number:
973-972-0128
Provider Enumeration Date:
03/13/2008