Provider First Line Business Practice Location Address:
1150 S CEDAR CREST BLVD
Provider Second Line Business Practice Location Address:
LOWER LEVEL
Provider Business Practice Location Address City Name:
ALLENTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18103-7900
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-417-1230
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/31/2007