Provider First Line Business Practice Location Address:
261 OLD YORK RD
Provider Second Line Business Practice Location Address:
SUITE 214
Provider Business Practice Location Address City Name:
JENKINTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19046-3706
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-885-4700
Provider Business Practice Location Address Fax Number:
215-885-6861
Provider Enumeration Date:
05/16/2006