Provider First Line Business Practice Location Address:
200 SCHUYLKILL MEDICAL PLZ
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
POTTSVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17901-3660
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-621-9270
Provider Business Practice Location Address Fax Number:
570-621-9271
Provider Enumeration Date:
08/30/2011