Provider First Line Business Practice Location Address:
300 SCHUYLKILL MEDICAL PLZ
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
POTTSVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17901-3668
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-621-9500
Provider Business Practice Location Address Fax Number:
570-621-9510
Provider Enumeration Date:
03/18/2009