Provider First Line Business Practice Location Address:
HAMBURG CENTER OLD RR 22
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HAMBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19526
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-562-6001
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/23/2007