Provider First Line Business Practice Location Address:
2843 W TILGHMAN ST
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:
18104-4257
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-435-5000
Provider Business Practice Location Address Fax Number:
610-435-6556
Provider Enumeration Date:
12/06/2005