Provider First Line Business Practice Location Address:
301 SOUTH 8TH STREET
Provider Second Line Business Practice Location Address:
THE GARFIELD DUNCAN BUILDING, STE. 2C
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19106-4017
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-829-5022
Provider Business Practice Location Address Fax Number:
215-829-5060
Provider Enumeration Date:
12/03/2009