Provider First Line Business Practice Location Address:
725 WEST INGOMAR ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
INGOMAR
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15127
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-367-5778
Provider Business Practice Location Address Fax Number:
412-367-0144
Provider Enumeration Date:
02/21/2007