Provider First Line Business Practice Location Address:
BALLY'S ATLANTIC CITY MEDICAL UNIT
Provider Second Line Business Practice Location Address:
PARK PLACE AND BOARDWALK
Provider Business Practice Location Address City Name:
ATLANTIC CITY
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-340-2914
Provider Business Practice Location Address Fax Number:
609-345-3426
Provider Enumeration Date:
07/13/2006