Provider First Line Business Practice Location Address:
125 E NORTH ST
Provider Second Line Business Practice Location Address:
SUITE 412
Provider Business Practice Location Address City Name:
NEW CASTLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16101-3718
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-498-0491
Provider Business Practice Location Address Fax Number:
724-498-0491
Provider Enumeration Date:
09/25/2006