Provider First Line Business Practice Location Address:
416 W TILGHMAN ST
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:
18102-2426
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-351-1900
Provider Business Practice Location Address Fax Number:
610-351-1400
Provider Enumeration Date:
12/01/2011