Provider First Line Business Practice Location Address:
200 BERWICK RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ORANGEVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17859
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-683-5036
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/08/2012