Provider First Line Business Practice Location Address:
1311 ROUTE 100
Provider Second Line Business Practice Location Address:
LOWER LEVEL
Provider Business Practice Location Address City Name:
BARTO
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19504-8724
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-845-5000
Provider Business Practice Location Address Fax Number:
610-845-5011
Provider Enumeration Date:
01/24/2010