Provider First Line Business Practice Location Address:
1650 HUNTINGDON PIKE
Provider Second Line Business Practice Location Address:
SUITE 101
Provider Business Practice Location Address City Name:
MEADOWBROOK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19046-8095
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-947-6690
Provider Business Practice Location Address Fax Number:
215-947-4726
Provider Enumeration Date:
08/02/2005