Provider First Line Business Practice Location Address:
1601 W LIBERTY ST
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:
18102-2071
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-433-5228
Provider Business Practice Location Address Fax Number:
610-433-4359
Provider Enumeration Date:
07/10/2009