Provider First Line Business Practice Location Address:
36 E GEORGE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DALLASTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17313-1202
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-246-3679
Provider Business Practice Location Address Fax Number:
717-246-1308
Provider Enumeration Date:
09/16/2005