Provider First Line Business Practice Location Address:
1301 E WASHINGTON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW CASTLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16101-4415
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-730-3505
Provider Business Practice Location Address Fax Number:
724-434-7889
Provider Enumeration Date:
10/24/2011