Provider First Line Business Practice Location Address:
120 PALANCE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HAZLE TOWNSHIP
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18202-9212
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-459-2180
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/27/2026