Provider First Line Business Practice Location Address:
2529 WILMINGTON RD SUITE A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW CASTLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16105-1636
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-654-8788
Provider Business Practice Location Address Fax Number:
724-654-8769
Provider Enumeration Date:
07/14/2011