Provider First Line Business Practice Location Address:
2245 WALBERT AVE
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:
18104-1358
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-841-4423
Provider Business Practice Location Address Fax Number:
610-841-4427
Provider Enumeration Date:
01/22/2008