Provider First Line Business Practice Location Address: 
55 MONUMENT RD
    Provider Second Line Business Practice Location Address: 
    Provider Business Practice Location Address City Name: 
YORK
    Provider Business Practice Location Address State Name: 
PA
    Provider Business Practice Location Address Postal Code: 
17403-5023
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
717-812-2212
    Provider Business Practice Location Address Fax Number: 
717-741-3784
    Provider Enumeration Date: 
06/03/2013