Provider First Line Business Practice Location Address:
3090 MORGANTOWN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SMITHFIELD
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15478
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-569-4400
Provider Business Practice Location Address Fax Number:
724-569-1742
Provider Enumeration Date:
10/24/2006