Provider First Line Business Practice Location Address:
1210 S CEDAR CREST BLVD
Provider Second Line Business Practice Location Address:
SUITE 2700
Provider Business Practice Location Address City Name:
ALLENTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18103-6229
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-402-8430
Provider Business Practice Location Address Fax Number:
610-402-1676
Provider Enumeration Date:
05/24/2006