Provider First Line Business Practice Location Address:
300 AMERICAN ST REAR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CATASAUQUA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18032-1800
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-264-7340
Provider Business Practice Location Address Fax Number:
610-264-7516
Provider Enumeration Date:
06/28/2013