Provider First Line Business Practice Location Address:
SAINT MICHAELS MEDICAL CENTER
Provider Second Line Business Practice Location Address:
111 CENTRAL AVE NEWARK
Provider Business Practice Location Address City Name:
NEWARK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07012
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-877-5080
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/22/2023