Provider First Line Business Practice Location Address:
261 OLD YORK RD
Provider Second Line Business Practice Location Address:
STE 325
Provider Business Practice Location Address City Name:
JENKINTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19046-3706
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-572-7900
Provider Business Practice Location Address Fax Number:
215-884-3901
Provider Enumeration Date:
07/19/2005