Provider First Line Business Practice Location Address:
310 CENTRAL CITY PLAZA
Provider Second Line Business Practice Location Address:
FSWP
Provider Business Practice Location Address City Name:
NEW KENSINGTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15068
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-335-9883
Provider Business Practice Location Address Fax Number:
724-335-2730
Provider Enumeration Date:
11/20/2006