Provider First Line Business Practice Location Address:
1350 HAMILTON ST
Provider Second Line Business Practice Location Address:
THE RENAL GROUP OF CENTRAL NEW JERSEY, P.A.
Provider Business Practice Location Address City Name:
SOMERSET
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08873-3341
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-246-2626
Provider Business Practice Location Address Fax Number:
732-249-5480
Provider Enumeration Date:
07/22/2006