Provider First Line Business Practice Location Address:
176 MEDICAL CENTER RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHICORA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16025-2612
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-445-3053
Provider Business Practice Location Address Fax Number:
724-455-3053
Provider Enumeration Date:
05/03/2006