Provider First Line Business Practice Location Address:
798 HAUSMAN RD
Provider Second Line Business Practice Location Address:
SUITE 150
Provider Business Practice Location Address City Name:
ALLENTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18104-9108
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-530-1515
Provider Business Practice Location Address Fax Number:
610-530-1507
Provider Enumeration Date:
06/06/2006