Provider First Line Business Practice Location Address:
502 BRIDGE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW CUMBERLAND
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17070-2079
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-774-7274
Provider Business Practice Location Address Fax Number:
717-774-4789
Provider Enumeration Date:
12/19/2006