Provider First Line Business Practice Location Address: 
300 HIGHLAND AVE
    Provider Second Line Business Practice Location Address: 
    Provider Business Practice Location Address City Name: 
HANOVER
    Provider Business Practice Location Address State Name: 
PA
    Provider Business Practice Location Address Postal Code: 
17331-2297
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
717-988-0000
    Provider Business Practice Location Address Fax Number: 
717-782-5716
    Provider Enumeration Date: 
06/04/2020