Provider First Line Business Practice Location Address:
5203 ALLENTOWN PIKE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TEMPLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19560-1213
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-929-4252
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/05/2007