Provider First Line Business Practice Location Address:
EAST ORANGE VETERAN'S HOSPITAL 385 TREMONT AVENUE
Provider Second Line Business Practice Location Address:
MAIL STOP 118
Provider Business Practice Location Address City Name:
EAST ORANGE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07018
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-676-1000
Provider Business Practice Location Address Fax Number:
973-395-7186
Provider Enumeration Date:
08/29/2006