Provider First Line Business Practice Location Address:
94 OLD SHORT HILLS ROAD
Provider Second Line Business Practice Location Address:
SAINT BARNABAS MEDICAL CENTER W1208
Provider Business Practice Location Address City Name:
LIVINGSTON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07039
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-322-5482
Provider Business Practice Location Address Fax Number:
973-324-4720
Provider Enumeration Date:
06/09/2011