Provider First Line Business Practice Location Address:
2701 DEKALB PIKE
Provider Second Line Business Practice Location Address:
PATH LAB
Provider Business Practice Location Address City Name:
EAST NORRITON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19401-1820
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-366-4606
Provider Business Practice Location Address Fax Number:
570-366-5193
Provider Enumeration Date:
08/22/2007