Provider First Line Business Practice Location Address:
2840 W DAUPHIN ST
Provider Second Line Business Practice Location Address:
STRAWBERRY MANSION HEALTH CENTER
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19132-4627
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-685-2400
Provider Business Practice Location Address Fax Number:
215-685-2440
Provider Enumeration Date:
08/14/2006