Provider First Line Business Practice Location Address:
7959 BUSTLETON AVENUE
Provider Second Line Business Practice Location Address:
AMERICAN ACCESS CARE OF PENNSYLVANIA, LLC
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19152
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-742-5662
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/28/2006