Provider First Line Business Practice Location Address:
1405 N CEDAR CREST BLVD STE 115
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:
18104-2308
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
484-371-5127
Provider Business Practice Location Address Fax Number:
484-207-6461
Provider Enumeration Date:
07/24/2023