Provider First Line Business Practice Location Address:
AMBULATORY PAIN AND DISABILITY MANAGEMENT CENTER LLC
Provider Second Line Business Practice Location Address:
191 PALISADE AVENUE
Provider Business Practice Location Address City Name:
JERSEY CITY
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07306-0730
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-656-4324
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/11/2020