Provider First Line Business Practice Location Address:
30 MEDICAL CENTER BLVD SUITE 303
Provider Second Line Business Practice Location Address:
CLINICAL RENAL ASSOCIATES LTD
Provider Business Practice Location Address City Name:
UPLAND
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19013-3995
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-872-8501
Provider Business Practice Location Address Fax Number:
610-872-5188
Provider Enumeration Date:
10/15/2007