Provider First Line Business Practice Location Address:
1275 S CEDAR CREST BLVD STE 2
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:
18103-6207
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-820-5703
Provider Business Practice Location Address Fax Number:
610-433-5660
Provider Enumeration Date:
11/14/2005