Provider First Line Business Practice Location Address:
MARY ELIZA MAHONEY HEALTH CENTER-394 UNIVERSITY AVE.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEWARK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07030
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-877-6082
Provider Business Practice Location Address Fax Number:
973-353-8473
Provider Enumeration Date:
09/12/2018