Provider First Line Business Practice Location Address:
1850 E EMMAUS 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:
18103-4422
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-791-0120
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/16/2012