Provider First Line Business Practice Location Address:
501 YORK RD STE 4
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
JENKINTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19046
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-885-1867
Provider Business Practice Location Address Fax Number:
215-885-1608
Provider Enumeration Date:
11/17/2014