Provider First Line Business Practice Location Address:
3213 NAZARETH RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PALMER TOWNSHIP
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18045-2096
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-559-2060
Provider Business Practice Location Address Fax Number:
610-559-2064
Provider Enumeration Date:
04/22/2009