Provider First Line Business Practice Location Address:
442 A BORDENTOWN AVENUE
Provider Second Line Business Practice Location Address:
LILLY P RATHI MD
Provider Business Practice Location Address City Name:
SOUTH AMBOY
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08879
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-727-6777
Provider Business Practice Location Address Fax Number:
732-422-4129
Provider Enumeration Date:
09/22/2006