Provider First Line Business Practice Location Address:
225 WILLIAMSON STREET
Provider Second Line Business Practice Location Address:
DEPT. OF SURGERY
Provider Business Practice Location Address City Name:
ELIZABETH
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07202
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-994-5738
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/26/2011