Provider First Line Business Practice Location Address:
5780 YORK RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW OXFORD
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17350-9540
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-624-2724
Provider Business Practice Location Address Fax Number:
717-624-8789
Provider Enumeration Date:
11/28/2006