Provider First Line Business Practice Location Address:
1400 OLD YORK RD
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
ABINGTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19001-2600
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-972-1100
Provider Business Practice Location Address Fax Number:
215-886-3250
Provider Enumeration Date:
08/31/2005