Provider First Line Business Practice Location Address:
1501 N CEDAR CREST BLVD STE 110
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:
18104-2309
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-821-2828
Provider Business Practice Location Address Fax Number:
610-821-7915
Provider Enumeration Date:
04/09/2013