Provider First Line Business Practice Location Address:
3100 SCHOOLHOUSE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MIDDLETOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17057-3548
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-531-7462
Provider Business Practice Location Address Fax Number:
717-531-4729
Provider Enumeration Date:
09/14/2007