Provider First Line Business Practice Location Address:
BRADY MEDICAL ARTS BUILDING
Provider Second Line Business Practice Location Address:
205 S FRONT ST, 9TH FLOOR, SUITE 911
Provider Business Practice Location Address City Name:
HARRISBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-221-6243
Provider Business Practice Location Address Fax Number:
215-345-2552
Provider Enumeration Date:
03/12/2017