Provider First Line Business Practice Location Address:
301A W 3RD ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BERWICK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18603-3603
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-829-2700
Provider Business Practice Location Address Fax Number:
570-829-2777
Provider Enumeration Date:
05/01/2015