Provider First Line Business Practice Location Address: 
100 WITMER RD
    Provider Second Line Business Practice Location Address: 
EMCARE
    Provider Business Practice Location Address City Name: 
HORSHAM
    Provider Business Practice Location Address State Name: 
PA
    Provider Business Practice Location Address Postal Code: 
19044-2251
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
914-374-6104
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
03/31/2008