Provider First Line Business Practice Location Address:
205 S MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SHARPSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15215-2132
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-782-2330
Provider Business Practice Location Address Fax Number:
412-784-1615
Provider Enumeration Date:
11/27/2006