Provider First Line Business Practice Location Address:
3251 SEVENTH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WHITEHALL
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18052
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-434-9990
Provider Business Practice Location Address Fax Number:
610-434-6526
Provider Enumeration Date:
04/11/2007