Provider First Line Business Practice Location Address:
825 FIFTH AVENUE
Provider Second Line Business Practice Location Address:
SUITE 102
Provider Business Practice Location Address City Name:
CHAMBERSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-262-9700
Provider Business Practice Location Address Fax Number:
717-262-9702
Provider Enumeration Date:
02/01/2006