Provider First Line Business Practice Location Address:
549 MERCHANT ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AMBRIDGE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15003-2464
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-550-0595
Provider Business Practice Location Address Fax Number:
412-228-3828
Provider Enumeration Date:
08/23/2023