Provider First Line Business Practice Location Address:
1565 W HARRISBURG PIKE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MIDDLETOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17057-4852
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-944-9681
Provider Business Practice Location Address Fax Number:
717-944-1747
Provider Enumeration Date:
11/25/2020