Provider First Line Business Practice Location Address:
100 ABINGTON EXECUTIVE PARK
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
CLARKS SUMMIT
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18411-2258
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-702-8000
Provider Business Practice Location Address Fax Number:
570-702-8196
Provider Enumeration Date:
03/11/2008