Provider First Line Business Practice Location Address: 
1 MEDICAL CENTER BLVD
    Provider Second Line Business Practice Location Address: 
CROZER PEDIATRICS, POB 1, SUITE 205
    Provider Business Practice Location Address City Name: 
UPLAND
    Provider Business Practice Location Address State Name: 
PA
    Provider Business Practice Location Address Postal Code: 
19013
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
610-619-7410
    Provider Business Practice Location Address Fax Number: 
610-876-8483
    Provider Enumeration Date: 
06/01/2017