Provider First Line Business Practice Location Address:
233 NORTHERN BLVD STE 5A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SOUTH ABINGTON TOWNSHIP
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18411-8640
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-587-8000
Provider Business Practice Location Address Fax Number:
570-587-8001
Provider Enumeration Date:
09/15/2009