Provider First Line Business Practice Location Address:
4400 CARLISLE PIKE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CAMP HILL
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17011-4132
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-975-9800
Provider Business Practice Location Address Fax Number:
717-975-5509
Provider Enumeration Date:
07/20/2006