Provider First Line Business Practice Location Address:
1000 EAST MOUNTAIN BOULEVARD
Provider Second Line Business Practice Location Address:
PEARSALL HEART HOSPITAL 2ND FLOOR
Provider Business Practice Location Address City Name:
WILKES-BARRE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18702
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-808-6110
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/15/2022