Provider First Line Business Practice Location Address:
1099 S TOWNSHIP BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PITTSTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18640-3247
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-602-2400
Provider Business Practice Location Address Fax Number:
570-602-8054
Provider Enumeration Date:
05/26/2014