Provider First Line Business Practice Location Address:
1050 KREIDER DR STE 100
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MIDDLETOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17057-3124
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-944-2327
Provider Business Practice Location Address Fax Number:
717-944-2329
Provider Enumeration Date:
10/28/2015