Provider First Line Business Practice Location Address:
201 LYONS AVENUS,
Provider Second Line Business Practice Location Address:
NEWARK BETH ISRAEL MEDICAL CENTER WING H-3
Provider Business Practice Location Address City Name:
NEWARK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07112
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-926-6935
Provider Business Practice Location Address Fax Number:
973-926-1277
Provider Enumeration Date:
09/13/2006