Provider First Line Business Practice Location Address:
4 CREEK PKWY STE A
Provider Second Line Business Practice Location Address:
PENTEC HEALTH, INC.
Provider Business Practice Location Address City Name:
UPPER CHICHESTER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19061-3132
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
484-480-2160
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/29/2011