Provider First Line Business Practice Location Address:
740 SOMERSET ST
Provider Second Line Business Practice Location Address:
MIRACLE-EAR HEARING CENTER
Provider Business Practice Location Address City Name:
WATCHUNG
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07069-4941
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-561-1247
Provider Business Practice Location Address Fax Number:
908-561-1249
Provider Enumeration Date:
03/06/2013