Provider First Line Business Practice Location Address:
208 GROVE ROAD, JAMISON BLDG
Provider Second Line Business Practice Location Address:
TORRANCE STATE HOSPITAL
Provider Business Practice Location Address City Name:
TORRANCE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15779
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-459-0112
Provider Business Practice Location Address Fax Number:
724-459-0686
Provider Enumeration Date:
04/24/2007