Provider First Line Business Practice Location Address:
17TH ST. AND CHEW 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:
18105
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-969-2865
Provider Business Practice Location Address Fax Number:
610-969-2786
Provider Enumeration Date:
02/14/2007