Provider First Line Business Practice Location Address:
385 TREMONT AVE
Provider Second Line Business Practice Location Address:
DEPT. OF VETERANS AFFAIRS NJ HEALTH CARE SYSTEM
Provider Business Practice Location Address City Name:
EAST ORANGE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07018-1023
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
813-784-9882
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/22/2007