Provider First Line Business Practice Location Address:
1417 MERCHANT ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AMBRIDGE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15003-2274
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-266-7200
Provider Business Practice Location Address Fax Number:
724-266-7202
Provider Enumeration Date:
06/24/2015