Provider First Line Business Practice Location Address:
1907 PARK AVE STE 102
Provider Second Line Business Practice Location Address:
C/O CENTRAL JERSEY ORTHOPAEDIC SPECIALISTS,P.A.
Provider Business Practice Location Address City Name:
SOUTH PLAINFIELD
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07080-5530
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-561-2220
Provider Business Practice Location Address Fax Number:
908-769-5308
Provider Enumeration Date:
04/22/2008