Provider First Line Business Practice Location Address:
18 EAST LAUREL ROAD
Provider Second Line Business Practice Location Address:
KENNEDY HEALTH SYSTEM (STRATFORD DIVISION)
Provider Business Practice Location Address City Name:
STRATFORD
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08084
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
856-346-6000
Provider Business Practice Location Address Fax Number:
856-346-7681
Provider Enumeration Date:
10/14/2014