Provider First Line Business Practice Location Address:
40 S 5TH ST FRNT 1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
READING
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19602-1032
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-374-7035
Provider Business Practice Location Address Fax Number:
610-374-2508
Provider Enumeration Date:
03/19/2008