Provider First Line Business Practice Location Address:
225 EDGEWOOD DRIVE EXT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TRANSFER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16154-1817
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-962-3553
Provider Business Practice Location Address Fax Number:
724-962-3630
Provider Enumeration Date:
04/26/2006