Provider First Line Business Practice Location Address:
CEDAR CREST BLVD & I78
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:
18105
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-402-7632
Provider Business Practice Location Address Fax Number:
610-402-7600
Provider Enumeration Date:
05/01/2007