Provider First Line Business Practice Location Address:
VETERANS' MULTI-SERVICE CENTER, 2ND FLOOR
Provider Second Line Business Practice Location Address:
213-217 N 4TH ST
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19106
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-764-7823
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/07/2018