Provider First Line Business Practice Location Address:
1729 W TILGHMAN ST STE 2
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:
18104-4158
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
833-447-2775
Provider Business Practice Location Address Fax Number:
323-307-7140
Provider Enumeration Date:
03/04/2024