Provider First Line Business Practice Location Address:
100 CAFFERTY RD.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PT. PLEASANT
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18950-0447
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-297-8282
Provider Business Practice Location Address Fax Number:
215-297-5161
Provider Enumeration Date:
03/29/2007