Provider First Line Business Practice Location Address:
93 OLD YORK RD
Provider Second Line Business Practice Location Address:
SUITE 217
Provider Business Practice Location Address City Name:
JENKINTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19046-3925
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-885-8774
Provider Business Practice Location Address Fax Number:
215-322-6067
Provider Enumeration Date:
09/14/2006