Provider First Line Business Practice Location Address:
150 CENTURY BLVD.
Provider Second Line Business Practice Location Address:
SOUTH JERSEY SURGICAL CENTER
Provider Business Practice Location Address City Name:
MT. LAUREL
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08054
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
856-630-6345
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/03/2006