Provider First Line Business Practice Location Address:
333 COTTMAN AVE
Provider Second Line Business Practice Location Address:
DRU - WEST BLDG CLINICAL RESEARCH UNIT
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19111-2434
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-728-2719
Provider Business Practice Location Address Fax Number:
215-214-4046
Provider Enumeration Date:
08/05/2011