Provider First Line Business Practice Location Address:
419 YORK RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
JENKINTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19046-2704
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-887-6363
Provider Business Practice Location Address Fax Number:
215-887-0493
Provider Enumeration Date:
09/13/2006