Provider First Line Business Practice Location Address:
2730 ELLWOOD RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW CASTLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16101-6276
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-652-4334
Provider Business Practice Location Address Fax Number:
724-652-1491
Provider Enumeration Date:
11/07/2007