Provider First Line Business Practice Location Address:
19 ANTHONYS MILL RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BARTO
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19504-8811
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-845-8400
Provider Business Practice Location Address Fax Number:
610-845-8426
Provider Enumeration Date:
05/17/2007