Provider First Line Business Practice Location Address:
1020 FRANKLIN ST
Provider Second Line Business Practice Location Address:
CONEMAUGH CANCER CARE CENTER
Provider Business Practice Location Address City Name:
JOHNSTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15905-4109
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-534-9132
Provider Business Practice Location Address Fax Number:
814-534-3494
Provider Enumeration Date:
10/21/2010