Provider First Line Business Practice Location Address:
111TH SOUTH 5TH STREET
Provider Second Line Business Practice Location Address:
FIRST FLOOR
Provider Business Practice Location Address City Name:
READING
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19602
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-504-2257
Provider Business Practice Location Address Fax Number:
610-370-7768
Provider Enumeration Date:
11/07/2007