Provider First Line Business Practice Location Address:
261 OLD YORK RD
Provider Second Line Business Practice Location Address:
STE 214
Provider Business Practice Location Address City Name:
JENKINTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19046-3724
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-885-4700
Provider Business Practice Location Address Fax Number:
215-885-6861
Provider Enumeration Date:
11/01/2006