Provider First Line Business Practice Location Address:
2536 WELSH RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PHILA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19152-1403
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-671-8000
Provider Business Practice Location Address Fax Number:
215-671-1108
Provider Enumeration Date:
03/24/2006