Provider First Line Business Practice Location Address:
2603 LEECHBURG RD
Provider Second Line Business Practice Location Address:
BUILDING # 2
Provider Business Practice Location Address City Name:
NEW KENSINGTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15068
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-875-3524
Provider Business Practice Location Address Fax Number:
412-857-3523
Provider Enumeration Date:
04/27/2021