Provider First Line Business Practice Location Address:
336 W SPRUCE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BETHLEHEM
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18018-3739
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-317-8000
Provider Business Practice Location Address Fax Number:
610-867-5385
Provider Enumeration Date:
01/17/2007