Provider First Line Business Practice Location Address:
512 S 2ND AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ELIZABETH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15037-1322
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-384-6884
Provider Business Practice Location Address Fax Number:
412-384-0516
Provider Enumeration Date:
09/26/2013