Provider First Line Business Practice Location Address:
279 MATHISON ROAD
Provider Second Line Business Practice Location Address:
SOUTHERN OCEAN CENTER FOR HEALTH AT LITTLE EGG HARBOR
Provider Business Practice Location Address City Name:
LITTLE EGG HARBOR
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08087
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-294-4006
Provider Business Practice Location Address Fax Number:
609-812-0539
Provider Enumeration Date:
03/22/2006