Provider First Line Business Practice Location Address:
355 GRAND STREET
Provider Second Line Business Practice Location Address:
JERSEY CITY MEDICAL CENTER, DEPT. OF S
Provider Business Practice Location Address City Name:
JERSEY CITY
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07302
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-915-2451
Provider Business Practice Location Address Fax Number:
201-915-2192
Provider Enumeration Date:
07/19/2006