Provider First Line Business Practice Location Address:
2200 WEST HAMILTON STREET
Provider Second Line Business Practice Location Address:
SUITE 214
Provider Business Practice Location Address City Name:
ALLENTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18104-6337
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
484-273-0401
Provider Business Practice Location Address Fax Number:
484-268-5265
Provider Enumeration Date:
07/18/2022