Provider First Line Business Practice Location Address:
34 TH ST AND CIVIC CENTER BLVD
Provider Second Line Business Practice Location Address:
ANESTHESIA RESOURCE CENTER
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19104-4399
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
267-425-4650
Provider Business Practice Location Address Fax Number:
267-425-4469
Provider Enumeration Date:
09/18/2008