Provider First Line Business Practice Location Address:
385 TREMONT AVENUE (116A)
Provider Second Line Business Practice Location Address:
VA NEW JERSEY HEALTH CARE SYSTEM
Provider Business Practice Location Address City Name:
EAST ORANGE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07018
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-676-1000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/06/2007