Provider First Line Business Practice Location Address:
101 7TH STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PENNSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18073
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-679-3200
Provider Business Practice Location Address Fax Number:
215-679-0809
Provider Enumeration Date:
04/05/2006