11 History Lane Operating Company, Llc

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NPI Provider: 1932108693
Contact Name: Breslin P Kevin
Position: Executive VP
Phone: (201) 242-4004

11 History Lane Operating Company, Llc Information:

11 History Lane Operating Company, Llc organization have npi 1932108693, taxonomy code is 314000000X with license number is in . This Business address located in 11 History Ln, Jackson, NJ 85272 New Jersey. Get directions of 11 History Lane Operating Company, Llc.

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Practice Location
Address: 11 History Ln, Jackson, NJ 85272
Phone: (732) 367-6600

Business Location

Address: 11 History Ln, Jackson, NJ 85272

Phone: (732) 367-6600

Fax: (732) 905-9641

Taxonomy

Taxonomy Code: 314000000X

License Number:

License Number of State: NJ

Primary Taxonomy Switch: Y

Enumeration Date: 7/15/2005

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