Provider First Line Business Practice Location Address:
1020 N UNION ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MIDDLETOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17057-2158
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-930-1200
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/23/2018