Provider First Line Business Practice Location Address:
49 NORTH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TREMONT
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17981-1526
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-695-2500
Provider Business Practice Location Address Fax Number:
570-695-3361
Provider Enumeration Date:
11/12/2005