Provider First Line Business Practice Location Address:
6190 IRISHTOWN RD. EXT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BETHWL PARK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15102
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-835-1701
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/12/2019