Provider First Line Business Practice Location Address:
28 WALNUT ST
Provider Second Line Business Practice Location Address:
MADISON HEALTH DEPARTMENT
Provider Business Practice Location Address City Name:
MADISON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07940-1638
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-593-3079
Provider Business Practice Location Address Fax Number:
973-593-3072
Provider Enumeration Date:
12/14/2005