Provider First Line Business Practice Location Address:
60 NORTHFIELD AVE
Provider Second Line Business Practice Location Address:
THE HEALTH INSTITUTE
Provider Business Practice Location Address City Name:
WEST ORANGE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07052-5336
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-731-1919
Provider Business Practice Location Address Fax Number:
973-731-0408
Provider Enumeration Date:
03/31/2006