Provider First Line Business Practice Location Address:
575 NORTH RIVER STREET WILKES BARRE GENERAL HOSPITAL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WILKES BARRE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18764-2333
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-770-5929
Provider Business Practice Location Address Fax Number:
570-207-7886
Provider Enumeration Date:
05/14/2012