Provider First Line Business Practice Location Address:
1600 LEHIGH PARKWAY EAST
Provider Second Line Business Practice Location Address:
SUITE 1F
Provider Business Practice Location Address City Name:
ALLENTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18103
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-432-6897
Provider Business Practice Location Address Fax Number:
610-821-1243
Provider Enumeration Date:
05/10/2006