Provider First Line Business Practice Location Address:
28 NORTH 15TH STREET
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:
18102
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-691-1000
Provider Business Practice Location Address Fax Number:
610-433-5593
Provider Enumeration Date:
02/08/2008