Provider First Line Business Practice Location Address:
5018 MEDICAL CENTER CIR STE 101A
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:
18106-9661
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
484-822-5099
Provider Business Practice Location Address Fax Number:
833-214-0127
Provider Enumeration Date:
05/20/2013