Provider First Line Business Practice Location Address:
1201 KNAPP ROAD AND NORTH WALES
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MONTGOMERY TOWNSHIP
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19454
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-661-0547
Provider Business Practice Location Address Fax Number:
215-661-9074
Provider Enumeration Date:
07/07/2006