Provider First Line Business Practice Location Address:
585 FREEMAN SCHOOL RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SCHWENKSVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19473-2111
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-287-4901
Provider Business Practice Location Address Fax Number:
610-287-7886
Provider Enumeration Date:
10/12/2006