Provider First Line Business Practice Location Address:
2110 MOUNT CARMEL RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ORRTANNA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17353-9712
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-642-8500
Provider Business Practice Location Address Fax Number:
888-344-4081
Provider Enumeration Date:
02/03/2010