Provider First Line Business Practice Location Address:
2 CENTRE PLAZA
Provider Second Line Business Practice Location Address:
CENTRAL JERSEY REHABILITATION MEDICINE, LLC
Provider Business Practice Location Address City Name:
TINTON FALLS
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07724
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-460-5360
Provider Business Practice Location Address Fax Number:
732-460-7442
Provider Enumeration Date:
05/21/2007