Provider First Line Business Practice Location Address:
4300 LONDONDERRY RD
Provider Second Line Business Practice Location Address:
MEDICAL SCIENCE PAV -STE 201
Provider Business Practice Location Address City Name:
HARRISBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17109-5317
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-724-6760
Provider Business Practice Location Address Fax Number:
717-724-6761
Provider Enumeration Date:
02/21/2012