Provider First Line Business Practice Location Address:
1634 MACARTHUR RD
Provider Second Line Business Practice Location Address:
SUITE 2
Provider Business Practice Location Address City Name:
WHITEHALL
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18052-5730
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-433-3361
Provider Business Practice Location Address Fax Number:
610-433-2120
Provider Enumeration Date:
02/13/2007