Provider First Line Business Practice Location Address:
1 MEDICAL CENTER BLVD.
Provider Second Line Business Practice Location Address:
SUITE 231 ACP
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:
844-464-6387
Provider Business Practice Location Address Fax Number:
215-239-3037
Provider Enumeration Date:
05/12/2006