Provider First Line Business Practice Location Address:
1155 CARLISLE ST
Provider Second Line Business Practice Location Address:
STE 12
Provider Business Practice Location Address City Name:
HANOVER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17331-1200
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-632-2626
Provider Business Practice Location Address Fax Number:
717-632-9631
Provider Enumeration Date:
09/22/2006