Provider First Line Business Practice Location Address: 
1648 HUNTINGDON PIKE
    Provider Second Line Business Practice Location Address: 
RADIOLOGY DEPARTMENT
    Provider Business Practice Location Address City Name: 
MEADOWBROOK
    Provider Business Practice Location Address State Name: 
PA
    Provider Business Practice Location Address Postal Code: 
19046-8001
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
215-938-3467
    Provider Business Practice Location Address Fax Number: 
215-938-3474
    Provider Enumeration Date: 
05/30/2006