Provider First Line Business Practice Location Address:
223 MCCASLIN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW CASTLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16101-8805
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-658-2673
Provider Business Practice Location Address Fax Number:
724-658-2992
Provider Enumeration Date:
05/18/2006