Provider First Line Business Practice Location Address:
835 HOSPITAL RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
INDIANA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15701-3629
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-357-7152
Provider Business Practice Location Address Fax Number:
724-357-6984
Provider Enumeration Date:
05/17/2010