Provider First Line Business Practice Location Address:
CEDAR CREST AVENUE AND I-78
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:
18105
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-402-8999
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/26/2007