Provider First Line Business Practice Location Address:
1359 CONNELLSVILLE RD
Provider Second Line Business Practice Location Address:
STE 18
Provider Business Practice Location Address City Name:
LEMONT FURNACE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15456-1076
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-438-5120
Provider Business Practice Location Address Fax Number:
724-438-5142
Provider Enumeration Date:
07/27/2010