Provider First Line Business Practice Location Address:
500 OLD YORK RD
Provider Second Line Business Practice Location Address:
#100
Provider Business Practice Location Address City Name:
JENKINTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19046
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-836-1535
Provider Business Practice Location Address Fax Number:
484-245-4802
Provider Enumeration Date:
08/25/2011