Provider First Line Business Practice Location Address:
1259 S. CEDAR CREST BLVD.
Provider Second Line Business Practice Location Address:
SUITE 330
Provider Business Practice Location Address City Name:
ALLENTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18103-6372
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-435-7727
Provider Business Practice Location Address Fax Number:
610-435-4909
Provider Enumeration Date:
05/01/2007