Provider First Line Business Practice Location Address:
129 SOUTH 9TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19107-2505
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-592-4500
Provider Business Practice Location Address Fax Number:
215-592-4326
Provider Enumeration Date:
01/08/2007