Provider First Line Business Practice Location Address:
1129 BROAD ST
Provider Second Line Business Practice Location Address:
BLOOMFIELD TOTAL HEALTH CENTER
Provider Business Practice Location Address City Name:
BLOOMFIELD
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07003-2918
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-338-3620
Provider Business Practice Location Address Fax Number:
973-338-4849
Provider Enumeration Date:
12/14/2006