Provider First Line Business Practice Location Address:
TAMAQUA PLAZA SHOPPING CTR., RTE. 209 S.
Provider Second Line Business Practice Location Address:
FMC OF TAMAQUA CKD SERVICES
Provider Business Practice Location Address City Name:
TAMAQUA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18252
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-668-6494
Provider Business Practice Location Address Fax Number:
570-668-6499
Provider Enumeration Date:
06/12/2006