Provider First Line Business Practice Location Address:
1600 LEHIGH PKWY E
Provider Second Line Business Practice Location Address:
SUITE 1F, REGENCY TOWERS
Provider Business Practice Location Address City Name:
ALLENTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18103-3000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-462-3060
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/05/2008