Provider First Line Business Practice Location Address:
690 HARLEYSVILLE PIKE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEDERACH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19450-0218
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-256-9150
Provider Business Practice Location Address Fax Number:
215-256-9850
Provider Enumeration Date:
06/24/2006