Provider First Line Business Practice Location Address:
3893 ADLER PL
Provider Second Line Business Practice Location Address:
SUITE 160, BLDG B
Provider Business Practice Location Address City Name:
BETHLEHEM
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18017-9072
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-882-4000
Provider Business Practice Location Address Fax Number:
610-882-4022
Provider Enumeration Date:
10/20/2006