Provider First Line Business Practice Location Address:
950 PULASKI DR
Provider Second Line Business Practice Location Address:
CHOP IMAGING CENTER THE KING OF PRUSSIA SPECIALITY CARE
Provider Business Practice Location Address City Name:
KING OF PRUSSIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19406-2802
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-590-7173
Provider Business Practice Location Address Fax Number:
215-590-1064
Provider Enumeration Date:
10/31/2005