Provider First Line Business Practice Location Address:
240 N BISHOP AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SPRINGFIELD
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19064-3347
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-626-6550
Provider Business Practice Location Address Fax Number:
610-626-2069
Provider Enumeration Date:
07/13/2006