Provider First Line Business Practice Location Address:
9 MARKET PL
Provider Second Line Business Practice Location Address:
LOGAN SQUARE
Provider Business Practice Location Address City Name:
NEW HOPE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18938-1059
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-385-5550
Provider Business Practice Location Address Fax Number:
215-693-1580
Provider Enumeration Date:
09/21/2006