Provider First Line Business Practice Location Address:
102 N ABINGTON RD STE 107
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CLARKS GREEN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18411-2300
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-466-0746
Provider Business Practice Location Address Fax Number:
570-266-5012
Provider Enumeration Date:
06/12/2023