Provider First Line Business Practice Location Address:
37 MEDICAL CROSSING RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TAMAQUA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18252-5565
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-386-5926
Provider Business Practice Location Address Fax Number:
570-386-2959
Provider Enumeration Date:
03/26/2021