Provider First Line Business Practice Location Address:
6901 OLD YORK RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PHILA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19126-2234
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-224-7600
Provider Business Practice Location Address Fax Number:
215-224-7700
Provider Enumeration Date:
02/26/2007