Provider First Line Business Practice Location Address:
111 S FRONT ST
Provider Second Line Business Practice Location Address:
PODIATRIC SURGICAL RESIDENCY COORDINATOR-BRADY 9
Provider Business Practice Location Address City Name:
HARRISBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17101-2010
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
267-252-4081
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/21/2011