Provider First Line Business Practice Location Address:
459 PASSAIC AVE
Provider Second Line Business Practice Location Address:
CRANE'S MILL - OAK HEALTH CENTER
Provider Business Practice Location Address City Name:
WEST CALDWELL
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07006-7457
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-276-3026
Provider Business Practice Location Address Fax Number:
973-276-7881
Provider Enumeration Date:
08/11/2006