Provider Type: Other Service Providers
Provider Classification: Specialist
Definition of Specialization:
Address: 101 Prospect St
Suite 216
Lakewood, NJ 08701-5020
Phone: (732) 370-7717
Fax: (732) 370-6519
Authorized Official: Dr. Usmani, Qaisar H, M.D.
Authorized Official Position: President
Authorized Official Phone: (732) 370-7717


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