Provider First Line Business Practice Location Address:
798 HAUSMAN RD STE 270
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:
18104-9103
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-432-6862
Provider Business Practice Location Address Fax Number:
610-432-9705
Provider Enumeration Date:
09/12/2017