Provider First Line Business Practice Location Address:
AEMC 5501 OLD YORK RD.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19141
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
917-499-4147
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/28/2010