Provider First Line Business Practice Location Address:
231 NORTHERN BLVD
Provider Second Line Business Practice Location Address:
SUITE 3
Provider Business Practice Location Address City Name:
SOUTH ABINGTON TOWNSHIP
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18411-9189
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-587-4113
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/26/2013