Provider First Line Business Practice Location Address:
2527 EAST TEXAS BLVD
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:
18103-2834
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-434-2000
Provider Business Practice Location Address Fax Number:
610-434-6313
Provider Enumeration Date:
03/27/2007