Provider First Line Business Practice Location Address:
798 HAUSMAN RD STE 250
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:
18104-9116
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-973-3868
Provider Business Practice Location Address Fax Number:
610-973-3867
Provider Enumeration Date:
09/18/2008