Provider First Line Business Practice Location Address:
850 S 5TH STREET
Provider Second Line Business Practice Location Address:
GOOD SHEPHERD PHYSICIAN GROUP
Provider Business Practice Location Address City Name:
ALLENTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18103
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-776-3278
Provider Business Practice Location Address Fax Number:
610-776-3326
Provider Enumeration Date:
07/17/2006