Provider First Line Business Practice Location Address:
2363 MACARTHUR RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WHITEHALL
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18052-4523
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-808-1093
Provider Business Practice Location Address Fax Number:
570-808-7878
Provider Enumeration Date:
07/22/2008