Provider First Line Business Practice Location Address:
1999 SPROUL RD STE 25
Provider Second Line Business Practice Location Address:
DELAWARE COUNTY MEDICAL CENTER
Provider Business Practice Location Address City Name:
BROOMALL
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19008-3508
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-353-6550
Provider Business Practice Location Address Fax Number:
610-353-5210
Provider Enumeration Date:
05/08/2007