Provider First Line Business Practice Location Address:
2811 OLD SOUTH PIKE 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:
18103-5551
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-730-1340
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/19/2026