Provider First Line Business Practice Location Address:
350 BOULVARD THE BOYD RENAL CLINIC
Provider Second Line Business Practice Location Address:
ST. MARY'S HOSPITAL AMBULATORY SERVICES,
Provider Business Practice Location Address City Name:
PASSAIC
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07055
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-594-7800
Provider Business Practice Location Address Fax Number:
973-594-7801
Provider Enumeration Date:
02/02/2007