Provider First Line Business Practice Location Address:
1249 S CEDAR CREST BLVD
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
ALLENTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18103-6259
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-770-2200
Provider Business Practice Location Address Fax Number:
610-770-2995
Provider Enumeration Date:
10/17/2006