Provider First Line Business Practice Location Address:
970 RT.70
Provider Second Line Business Practice Location Address:
DEPT.VETERNS AFFAIRS JAMES J. HOWARD OUTPATIENT CLINIC
Provider Business Practice Location Address City Name:
BRICK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08724
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-836-6003
Provider Business Practice Location Address Fax Number:
732-836-6002
Provider Enumeration Date:
07/17/2006