Provider First Line Business Practice Location Address:
ONE HOSPITAL DRIVE
Provider Second Line Business Practice Location Address:
TOWANDA MEMORIAL HOSPITAL
Provider Business Practice Location Address City Name:
TOWANDA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18848
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
877-204-4155
Provider Business Practice Location Address Fax Number:
561-204-5232
Provider Enumeration Date:
09/13/2005