Provider First Line Business Practice Location Address:
471 CENTER ST
Provider Second Line Business Practice Location Address:
CKD SERVICES OF PHILLIPSBURG
Provider Business Practice Location Address City Name:
PHILLIPSBURG
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08865-2665
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-454-7440
Provider Business Practice Location Address Fax Number:
908-454-9050
Provider Enumeration Date:
02/19/2008