Provider First Line Business Practice Location Address:
180 UNITED PENN PLZ
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KINGSTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18704-3417
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-718-1672
Provider Business Practice Location Address Fax Number:
570-718-1805
Provider Enumeration Date:
12/02/2015