Provider First Line Business Practice Location Address:
349 MEETINGHOUSE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
JENKINTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19046-2908
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-886-5331
Provider Business Practice Location Address Fax Number:
215-576-5949
Provider Enumeration Date:
07/12/2006