Provider First Line Business Practice Location Address:
4 W MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MACUNGIE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18062-1120
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-965-6200
Provider Business Practice Location Address Fax Number:
610-965-6211
Provider Enumeration Date:
09/12/2007