Provider First Line Business Practice Location Address:
1650 HUNTINGDON PIKE
Provider Second Line Business Practice Location Address:
SUITE 255
Provider Business Practice Location Address City Name:
MEADOWBROOK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19046-8004
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-938-2055
Provider Business Practice Location Address Fax Number:
215-938-2054
Provider Enumeration Date:
12/01/2005