Provider First Line Business Practice Location Address:
3240 N GEORGE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EMIGSVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17318-2023
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-691-3700
Provider Business Practice Location Address Fax Number:
717-697-6524
Provider Enumeration Date:
08/01/2026