Provider First Line Business Practice Location Address:
609 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:
18101-2111
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-764-0528
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/31/2026