Provider First Line Business Practice Location Address:
141 E EMAUS AVE
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:
18103-5824
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-791-5930
Provider Business Practice Location Address Fax Number:
610-791-2157
Provider Enumeration Date:
04/11/2006