Provider First Line Business Practice Location Address:
23 S YORK RD FRNT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HATBORO
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19040-3231
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-672-8552
Provider Business Practice Location Address Fax Number:
215-672-8555
Provider Enumeration Date:
05/22/2008