Provider First Line Business Practice Location Address:
1447 W HAMILTON 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:
18102-4231
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-434-4445
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/22/2007