Provider First Line Business Practice Location Address:
6200 KELLERS CHURCH RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PLUMSTEADVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18949-0368
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-766-7670
Provider Business Practice Location Address Fax Number:
215-766-7726
Provider Enumeration Date:
09/02/2006