Provider First Line Business Practice Location Address:
881 3RD ST
Provider Second Line Business Practice Location Address:
SUITE C-1
Provider Business Practice Location Address City Name:
WHITEHALL
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18052-5900
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-266-5200
Provider Business Practice Location Address Fax Number:
610-266-5111
Provider Enumeration Date:
09/20/2006