Provider First Line Business Practice Location Address:
197 E PLUMSTEAD AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LANSDOWNE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19050-1221
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-626-4941
Provider Business Practice Location Address Fax Number:
610-626-4905
Provider Enumeration Date:
11/17/2006