Provider First Line Business Practice Location Address:
1 MEDICAL CENTER BLVD.
Provider Second Line Business Practice Location Address:
SUITE 403 CCMC POB 1 MARSHA KROUK D.O.
Provider Business Practice Location Address City Name:
UPLAND
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19013
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-490-7980
Provider Business Practice Location Address Fax Number:
215-635-0745
Provider Enumeration Date:
10/20/2006