Provider First Line Business Practice Location Address:
5690 ALLENTOWN BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HARRISBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17112
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-526-2000
Provider Business Practice Location Address Fax Number:
717-526-0111
Provider Enumeration Date:
01/26/2006