Provider First Line Business Practice Location Address:
680 BROADWAY
Provider Second Line Business Practice Location Address:
BARNERT HOSPITAL ANESTHESIA DEPT
Provider Business Practice Location Address City Name:
PATERSON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07514-1422
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-339-1700
Provider Business Practice Location Address Fax Number:
201-339-6972
Provider Enumeration Date:
08/31/2005