Provider First Line Business Practice Location Address:
ST. MICHAEL'S MEDICAL CENTER
Provider Second Line Business Practice Location Address:
111 CENTRAL AVENUE
Provider Business Practice Location Address City Name:
NEWARK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07102
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-877-5000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/24/2012