Provider First Line Business Practice Location Address:
1771 MADISON AVE
Provider Second Line Business Practice Location Address:
CENTER FOR HEALTH EDUCATON, MEDICINE AND DENTISTRY
Provider Business Practice Location Address City Name:
LAKEWOOD
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08701-1251
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-364-2144
Provider Business Practice Location Address Fax Number:
732-534-8064
Provider Enumeration Date:
03/17/2008