Provider First Line Business Practice Location Address:
1024 N BETHLEHEM PIKE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AMBLER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19002-2114
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-641-9401
Provider Business Practice Location Address Fax Number:
215-654-7482
Provider Enumeration Date:
10/31/2012