Provider First Line Business Practice Location Address:
1605 N CEDAR CREST BLVD STE 408
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALLENTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18104-2323
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-432-7100
Provider Business Practice Location Address Fax Number:
610-432-7171
Provider Enumeration Date:
11/18/2010