Provider First Line Business Practice Location Address:
655 NORTHERN BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SOUTH ABINGTON TOWNSHIP
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18411-8740
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-842-9323
Provider Business Practice Location Address Fax Number:
570-843-9362
Provider Enumeration Date:
02/03/2017