Provider First Line Business Practice Location Address:
100 E LANCASTER AVE
Provider Second Line Business Practice Location Address:
LANKENAU HOSPITAL RADIOLOGY DEPT
Provider Business Practice Location Address City Name:
WYNNEWOOD
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19096-3450
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-429-0693
Provider Business Practice Location Address Fax Number:
610-429-9048
Provider Enumeration Date:
07/05/2007