Provider First Line Business Practice Location Address:
210 LYONS AVE
Provider Second Line Business Practice Location Address:
DEPT OBGYN
Provider Business Practice Location Address City Name:
NEWARK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07112-1720
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-560-5198
Provider Business Practice Location Address Fax Number:
973-705-8650
Provider Enumeration Date:
05/04/2006