Provider First Line Business Practice Location Address:
9 MOUNT BETHEL PLZ
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MOUNT BETHEL
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18343-5212
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-897-5911
Provider Business Practice Location Address Fax Number:
570-897-5908
Provider Enumeration Date:
05/24/2005