Provider First Line Business Practice Location Address:
2741 MACARTHUR RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WHITEHALL
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18052-3632
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-434-9561
Provider Business Practice Location Address Fax Number:
610-424-5122
Provider Enumeration Date:
03/29/2019