Provider First Line Business Practice Location Address:
1977 LINCOLN WAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WHITE OAK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15131-2493
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-664-7312
Provider Business Practice Location Address Fax Number:
412-664-0402
Provider Enumeration Date:
11/07/2006