Provider First Line Business Practice Location Address:
190 PROSPECT PLAINS RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MONROE TOWNSHIP
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08831-3713
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-655-2222
Provider Business Practice Location Address Fax Number:
609-655-5977
Provider Enumeration Date:
01/22/2007