Provider First Line Business Practice Location Address:
332 N BETHLEHEM PIKE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AMBLER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19002-3525
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-643-2250
Provider Business Practice Location Address Fax Number:
215-643-7913
Provider Enumeration Date:
12/13/2006