Provider First Line Business Practice Location Address:
ATLANTICARE REGIONAL MEDICAL CENTER
Provider Second Line Business Practice Location Address:
JIMMIE LEEDS ROAD
Provider Business Practice Location Address City Name:
POMONA
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08240
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-652-3452
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/23/2006