Provider First Line Business Practice Location Address:
790 NORTHERN BLVD
Provider Second Line Business Practice Location Address:
ABINGTON PROFESSIONAL PLAZA SUITE L
Provider Business Practice Location Address City Name:
SOUTH ABINGTON TOWNSHIP
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18411-8799
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-586-9717
Provider Business Practice Location Address Fax Number:
570-586-5446
Provider Enumeration Date:
09/06/2011