Provider First Line Business Practice Location Address:
2100 HARRISBURG PIKE
Provider Second Line Business Practice Location Address:
SUBURBAN OUTPATIENT PAVILION
Provider Business Practice Location Address City Name:
LANCASTER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17604-3200
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-544-3103
Provider Business Practice Location Address Fax Number:
717-544-3130
Provider Enumeration Date:
12/02/2010