Provider First Line Business Practice Location Address:
100 SCHUYLKILL MEDICAL PLZ STE 105
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
POTTSVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17901-3636
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-622-4840
Provider Business Practice Location Address Fax Number:
570-622-7589
Provider Enumeration Date:
02/18/2021