Provider First Line Business Practice Location Address:
DEPT OF OB/GYN - GENETICS, 5 DULLES, 3400 SPRUCE ST.
Provider Second Line Business Practice Location Address:
HOSPITAL OF UNIV OF PA
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-662-3961
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/18/2006