Provider First Line Business Practice Location Address:
174 BATH NAZARETH HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NAZARETH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18064-2060
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
484-298-1050
Provider Business Practice Location Address Fax Number:
484-222-2787
Provider Enumeration Date:
08/13/2010