Provider First Line Business Practice Location Address:
1920 OLD YORK RD
Provider Second Line Business Practice Location Address:
ABINGTON CLUBHOUSE
Provider Business Practice Location Address City Name:
ABINGTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19001-1001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-659-2453
Provider Business Practice Location Address Fax Number:
215-659-5755
Provider Enumeration Date:
04/11/2007