Provider First Line Business Practice Location Address:
221 BRIDGE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW CUMBERLAND
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17070
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-774-5166
Provider Business Practice Location Address Fax Number:
717-774-6355
Provider Enumeration Date:
03/21/2006