Provider First Line Business Practice Location Address:
59 OLD ROUTE 22
Provider Second Line Business Practice Location Address:
THE DOCTOR IS IN, PA
Provider Business Practice Location Address City Name:
CLINTON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08809
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-730-6363
Provider Business Practice Location Address Fax Number:
908-730-8185
Provider Enumeration Date:
09/27/2006