Provider First Line Business Practice Location Address: 
651 W MOUNT PLEASANT AVE
    Provider Second Line Business Practice Location Address: 
EMERGENCY MEDICAL ASSOCIATES
    Provider Business Practice Location Address City Name: 
LIVINGSTON
    Provider Business Practice Location Address State Name: 
NJ
    Provider Business Practice Location Address Postal Code: 
07039-1600
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
973-740-0607
    Provider Business Practice Location Address Fax Number: 
973-740-9895
    Provider Enumeration Date: 
07/14/2008