Provider First Line Business Practice Location Address:
3118 SUMNEYTOWN PIKE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SUMNEYTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18084
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-234-7342
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/07/2006