Provider First Line Business Practice Location Address:
2173 MACDADE BLVD
Provider Second Line Business Practice Location Address:
SUITES K & L
Provider Business Practice Location Address City Name:
HOLMES
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19043-1217
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-254-1552
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/14/2008