Provider First Line Business Practice Location Address:
3410 W PITTSBURG RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW CASTLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16101-5970
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-658-4781
Provider Business Practice Location Address Fax Number:
724-658-4665
Provider Enumeration Date:
09/25/2006