Provider First Line Business Practice Location Address:
439 YORK RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
JENKINTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19046-2736
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-887-3838
Provider Business Practice Location Address Fax Number:
215-887-9551
Provider Enumeration Date:
07/30/2006