Provider First Line Business Practice Location Address:
2790 WEST CHESTNUT STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-228-5800
Provider Business Practice Location Address Fax Number:
724-223-5405
Provider Enumeration Date:
10/04/2006