Provider First Line Business Practice Location Address:
106 GRAND AVE
Provider Second Line Business Practice Location Address:
NORTH JERSEY ORTHOPEDIC SPECIALISTS
Provider Business Practice Location Address City Name:
ENGLEWOOD
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07631
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-608-0109
Provider Business Practice Location Address Fax Number:
201-608-0110
Provider Enumeration Date:
06/24/2006