Provider First Line Business Practice Location Address:
21 MARKET ST.
Provider Second Line Business Practice Location Address:
SJRMC-FHC
Provider Business Practice Location Address City Name:
PATERSON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07501
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-754-4233
Provider Business Practice Location Address Fax Number:
973-754-4259
Provider Enumeration Date:
11/08/2013