Provider First Line Business Practice Location Address:
1313 CENTER 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:
18018-2502
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-868-5535
Provider Business Practice Location Address Fax Number:
610-868-0612
Provider Enumeration Date:
12/18/2007