Provider First Line Business Practice Location Address:
50 EASTERN AVE
Provider Second Line Business Practice Location Address:
SUITE 135
Provider Business Practice Location Address City Name:
GREENCASTLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17225-1100
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-597-3151
Provider Business Practice Location Address Fax Number:
717-597-8933
Provider Enumeration Date:
07/28/2009