Provider First Line Business Practice Location Address:
16325 MOUNT AIRY ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SHREWSBURY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17361
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-227-2225
Provider Business Practice Location Address Fax Number:
717-227-0784
Provider Enumeration Date:
07/31/2006