Provider First Line Business Practice Location Address:
511 MAIN ST
Provider Second Line Business Practice Location Address:
AMERICARE PRESCRIPTION SURGICAL CTR
Provider Business Practice Location Address City Name:
FORT LEE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07024-4504
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-461-2472
Provider Business Practice Location Address Fax Number:
201-461-0097
Provider Enumeration Date:
12/22/2011