Provider First Line Business Practice Location Address:
4950 YORK RD
Provider Second Line Business Practice Location Address:
4950 YORK ROAD SUITE 2-H
Provider Business Practice Location Address City Name:
HOLICONG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18928-6000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-794-3898
Provider Business Practice Location Address Fax Number:
215-794-9082
Provider Enumeration Date:
08/08/2006