Provider First Line Business Practice Location Address:
1125 S CEDAR CREST BLVD
Provider Second Line Business Practice Location Address:
STE 202
Provider Business Practice Location Address City Name:
ALLENTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18103-7903
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-433-5141
Provider Business Practice Location Address Fax Number:
610-433-5172
Provider Enumeration Date:
01/18/2007