Provider First Line Business Practice Location Address:
18 EAST LAUREL RD
Provider Second Line Business Practice Location Address:
KENNEDY HEALTH SYSTEM
Provider Business Practice Location Address City Name:
STRAFORD
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:
Provider Enumeration Date:
07/24/2006