Provider First Line Business Practice Location Address:
5738 ROUTE 9
Provider Second Line Business Practice Location Address:
HEALTH SERVICES
Provider Business Practice Location Address City Name:
NEW GRETNA
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08224
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-296-6000
Provider Business Practice Location Address Fax Number:
609-296-0471
Provider Enumeration Date:
12/04/2007