Provider First Line Business Practice Location Address:
101 OLD YORK ROAD SUITE 100
Provider Second Line Business Practice Location Address:
SUBURBAN PAIN CONTROL CENTER
Provider Business Practice Location Address City Name:
JENKINTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19046
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-886-7856
Provider Business Practice Location Address Fax Number:
215-885-8861
Provider Enumeration Date:
05/16/2006