Provider First Line Business Practice Location Address:
430 W MAIN ST
Provider Second Line Business Practice Location Address:
SUITE 3
Provider Business Practice Location Address City Name:
NEW HOLLAND
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17557-1144
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-354-6100
Provider Business Practice Location Address Fax Number:
717-354-2902
Provider Enumeration Date:
07/31/2006