Provider First Line Business Practice Location Address:
4140 AIRPORT RD UNIT 1C
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:
18109-9428
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
484-240-1677
Provider Business Practice Location Address Fax Number:
484-906-7337
Provider Enumeration Date:
12/17/2020