Provider First Line Business Practice Location Address:
1570 BALTIMORE PIKE
Provider Second Line Business Practice Location Address:
OFFICE OF SPORTS MEDICINE
Provider Business Practice Location Address City Name:
LINCOLN UNIVERSITY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19352
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
484-365-7343
Provider Business Practice Location Address Fax Number:
484-365-7614
Provider Enumeration Date:
04/26/2007