Provider First Line Business Practice Location Address:
300 AMERICAN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CATASAUQUA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18032-1800
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-264-5471
Provider Business Practice Location Address Fax Number:
610-264-8774
Provider Enumeration Date:
05/15/2006