Provider First Line Business Practice Location Address:
1730 W 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:
18104-5549
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-969-3500
Provider Business Practice Location Address Fax Number:
610-969-3605
Provider Enumeration Date:
08/14/2008