Provider First Line Business Practice Location Address:
2290 CARLISLE PIKE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW OXFORD
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17350
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-624-2161
Provider Business Practice Location Address Fax Number:
717-624-5453
Provider Enumeration Date:
07/30/2008