Provider First Line Business Practice Location Address:
999 W HARRISBURG PIKE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MIDDLETOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17057-4801
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-944-3351
Provider Business Practice Location Address Fax Number:
717-948-1510
Provider Enumeration Date:
07/28/2005