Provider First Line Business Practice Location Address:
1954 COUNTY LINE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HUNTINGDON VALLEY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19006-1738
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-942-0120
Provider Business Practice Location Address Fax Number:
215-942-0130
Provider Enumeration Date:
11/22/2006