Provider First Line Business Practice Location Address:
37 MEDICAL CROSSING RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TAMAQUA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18252-5565
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-928-3239
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/24/2007