Provider First Line Business Practice Location Address:
15 W WOOD ST
Provider Second Line Business Practice Location Address:
MCSHEA HALL RM 320
Provider Business Practice Location Address City Name:
NORRISTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19401-3347
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-794-9535
Provider Business Practice Location Address Fax Number:
215-794-9545
Provider Enumeration Date:
10/04/2005