Provider First Line Business Practice Location Address:
1125 S. CEDAR CREST BLVD.
Provider Second Line Business Practice Location Address:
SUITE 102
Provider Business Practice Location Address City Name:
ALLENTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18103
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-433-6660
Provider Business Practice Location Address Fax Number:
610-433-7477
Provider Enumeration Date:
05/03/2007