Provider First Line Business Practice Location Address:
VA NEW JERSEY HEALTH CARE SYSTEM 11C
Provider Second Line Business Practice Location Address:
385 TREMONT AVENUE
Provider Business Practice Location Address City Name:
EAST ORANGE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07018-1095
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-395-7009
Provider Business Practice Location Address Fax Number:
973-395-7010
Provider Enumeration Date:
03/23/2006