Provider First Line Business Practice Location Address:
9300 OLD YORK ROAD
Provider Second Line Business Practice Location Address:
200 JENKINTOWN COMMONS
Provider Business Practice Location Address City Name:
JENKINTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19046
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-885-3337
Provider Business Practice Location Address Fax Number:
215-885-3090
Provider Enumeration Date:
10/29/2008