Provider First Line Business Practice Location Address:
1303 LINCOLN WAY
Provider Second Line Business Practice Location Address:
STE A
Provider Business Practice Location Address City Name:
WHITE OAK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15131-1645
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-673-1191
Provider Business Practice Location Address Fax Number:
412-678-1746
Provider Enumeration Date:
12/28/2010