Provider First Line Business Practice Location Address:
825 N CEDAR CREST BLVD
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:
18104-3437
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-421-8456
Provider Business Practice Location Address Fax Number:
610-437-2635
Provider Enumeration Date:
02/10/2010