Provider First Line Business Practice Location Address:
1607 E EMMAUS AVE
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:
18103-8308
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-288-0629
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/29/2007