Provider First Line Business Practice Location Address:
3212 WILMINGTON RD
Provider Second Line Business Practice Location Address:
SUITE 20
Provider Business Practice Location Address City Name:
NEW CASTLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16105-1147
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-598-2280
Provider Business Practice Location Address Fax Number:
724-598-2282
Provider Enumeration Date:
07/07/2005