Provider First Line Business Practice Location Address:
736 W. INGOMAR ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
INGOMAR
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15127-0035
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-364-7188
Provider Business Practice Location Address Fax Number:
412-348-0143
Provider Enumeration Date:
10/19/2006