Provider First Line Business Practice Location Address:
207 N 6TH ST
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:
18102-4111
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-915-4999
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/21/2020