Provider First Line Business Practice Location Address:
7700 RIVER ROAD
Provider Second Line Business Practice Location Address:
THE RECOVERY ROOM
Provider Business Practice Location Address City Name:
NORTH BERGEN
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07047
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
917-864-9604
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/29/2024