Provider First Line Business Practice Location Address:
2 S MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALLENTOWN
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08501-1610
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-259-6121
Provider Business Practice Location Address Fax Number:
609-259-6407
Provider Enumeration Date:
06/12/2006