Provider First Line Business Practice Location Address:
3535 MARKET STREET, SUITE 3108
Provider Second Line Business Practice Location Address:
CENTER FOR WEIGHT AND EATING DISORDERS
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-746-7191
Provider Business Practice Location Address Fax Number:
215-898-2878
Provider Enumeration Date:
10/07/2010