Provider First Line Business Practice Location Address:
20820 ROUTE 19 STE A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CRANBERRY TOWNSHIP
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16066-6000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-779-4444
Provider Business Practice Location Address Fax Number:
724-304-0155
Provider Enumeration Date:
10/20/2010