Provider First Line Business Practice Location Address:
159 NORTH READING RD
Provider Second Line Business Practice Location Address:
BACA PEDIATRICS
Provider Business Practice Location Address City Name:
EPHRATA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17522-1671
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-733-0790
Provider Business Practice Location Address Fax Number:
717-733-1802
Provider Enumeration Date:
04/25/2006