Provider First Line Business Practice Location Address:
2160 SPRINGHILL FURNACE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SMITHFIELD
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15478-1428
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-564-7424
Provider Business Practice Location Address Fax Number:
724-564-4642
Provider Enumeration Date:
12/28/2005