Provider First Line Business Practice Location Address:
ERIE AVE AT FRON ST - SCPA GASTROENTEROLOGY
Provider Second Line Business Practice Location Address:
NELSON PAVILION STE 2045
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19134
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-427-6778
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/02/2007