Provider First Line Business Practice Location Address:
325 N 5TH ST
Provider Second Line Business Practice Location Address:
3RD FLOOR
Provider Business Practice Location Address City Name:
ALLENTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18102-3367
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-776-4928
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/24/2011