Provider First Line Business Practice Location Address:
600 SOUTH 43RD STREET
Provider Second Line Business Practice Location Address:
UNIVERSITY OF THE SCIENCES
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18966
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-596-7140
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/09/2021