Provider First Line Business Practice Location Address:
740 W HAMILTON ST STE 100
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:
18101-2425
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-434-1000
Provider Business Practice Location Address Fax Number:
610-434-9592
Provider Enumeration Date:
09/15/2006