Provider First Line Business Practice Location Address:
106 E NORTH ST
Provider Second Line Business Practice Location Address:
FL 2, STE 208B
Provider Business Practice Location Address City Name:
NEW CASTLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16101-3736
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-656-1667
Provider Business Practice Location Address Fax Number:
724-654-1140
Provider Enumeration Date:
03/31/2011