Provider First Line Business Practice Location Address:
327 CHESTNUT ST
Provider Second Line Business Practice Location Address:
ST. LUKE'S UNIVERSITY HEALTH NETWORK WARREN CAMPUS
Provider Business Practice Location Address City Name:
EAST BANGOR
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18013-2224
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-859-6700
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/23/2007