Provider First Line Business Practice Location Address:
1243 S CEDAR CREST BLVD
Provider Second Line Business Practice Location Address:
STE 2200
Provider Business Practice Location Address City Name:
ALLENTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18103-6268
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-402-2500
Provider Business Practice Location Address Fax Number:
610-402-2506
Provider Enumeration Date:
10/30/2013