Provider First Line Business Practice Location Address:
5012 CARLISLE PIKE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MECHANICSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17050
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-763-2020
Provider Business Practice Location Address Fax Number:
717-901-6565
Provider Enumeration Date:
07/20/2006