Provider First Line Business Practice Location Address:
921 DRINKER TURNPIKE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COVINGTON TOWNSHIP
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18444-7948
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-842-0945
Provider Business Practice Location Address Fax Number:
570-842-6135
Provider Enumeration Date:
09/28/2007