Provider First Line Business Practice Location Address:
500 YORK RD
Provider Second Line Business Practice Location Address:
SUITE 108
Provider Business Practice Location Address City Name:
JENKINTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19046-2852
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-481-2725
Provider Business Practice Location Address Fax Number:
215-481-3013
Provider Enumeration Date:
06/18/2013