NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1164402475 | BURGET | DEAN | EDWIN |   | 3317 PENN AVE | READING | PA | 196091436 |
1336317346 | HENDRIX | AMY | LEE |   | 3317 PENN AVE | READING | PA | 196091436 |
1407037237 | HENDRIX | JASON | ERROL |   | 3317 PENN AVE | READING | PA | 196091436 |
1386643880 | MICKULIK | KELLY | S. |   | 3317 PENN AVE | READING | PA | 196091436 |
1144505975 | STAUB | TODD |   |   | 3317 PENN AVE | READING | PA | 196091436 |