Provider First Line Business Practice Location Address:
1210 SPRINGHOUSE RD
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:
18104-2119
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-351-5559
Provider Business Practice Location Address Fax Number:
610-351-5569
Provider Enumeration Date:
05/27/2006