Provider First Line Business Practice Location Address:
200 TARENTUM BRIDGE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW KENSINGTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15068-1523
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-339-4943
Provider Business Practice Location Address Fax Number:
724-334-3238
Provider Enumeration Date:
11/19/2021