Provider First Line Business Practice Location Address:
70 W NORTH ST
Provider Second Line Business Practice Location Address:
SUITE 101
Provider Business Practice Location Address City Name:
BETHLEHEM
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18018-3926
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-861-2741
Provider Business Practice Location Address Fax Number:
610-861-2781
Provider Enumeration Date:
09/17/2008