Provider First Line Business Practice Location Address:
160 MEDICAL CENTER RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHICORA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16025-2638
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-445-3720
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/25/2007