Provider First Line Business Practice Location Address:
3131 COLLEGE HEIGHTS BLVD
Provider Second Line Business Practice Location Address:
SUITE 2200
Provider Business Practice Location Address City Name:
ALLENTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18104-4812
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-433-3210
Provider Business Practice Location Address Fax Number:
610-433-2395
Provider Enumeration Date:
01/29/2014