Provider First Line Business Practice Location Address:
100 W SPROUL RD STE 120
Provider Second Line Business Practice Location Address:
HEALTHPLEX PAVILLION II
Provider Business Practice Location Address City Name:
SPRINGFIELD
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19064-2033
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-338-1800
Provider Business Practice Location Address Fax Number:
610-338-1809
Provider Enumeration Date:
09/06/2013