Provider First Line Business Practice Location Address:
7248 TILGHMAN ST
Provider Second Line Business Practice Location Address:
SUITE 160
Provider Business Practice Location Address City Name:
ALLENTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18106-9355
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-336-8000
Provider Business Practice Location Address Fax Number:
610-336-8001
Provider Enumeration Date:
06/12/2014