Provider First Line Business Practice Location Address:
150 E BUTLER AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AMBLER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19002-4427
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-628-3955
Provider Business Practice Location Address Fax Number:
215-628-3511
Provider Enumeration Date:
07/18/2006