Provider First Line Business Practice Location Address:
1275 S CEDAR CREST BLVD STE 1
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:
18103-6242
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-437-1727
Provider Business Practice Location Address Fax Number:
610-437-4715
Provider Enumeration Date:
07/04/2006