Provider First Line Business Practice Location Address:
690 E MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DALLASTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17313
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-244-9500
Provider Business Practice Location Address Fax Number:
717-244-9899
Provider Enumeration Date:
08/21/2006