Provider First Line Business Practice Location Address:
3922 ORCHARD RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MACUNGIE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18062-9671
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-965-9509
Provider Business Practice Location Address Fax Number:
610-965-2040
Provider Enumeration Date:
03/05/2007