Provider First Line Business Practice Location Address:
1115 LINDEN STREET
Provider Second Line Business Practice Location Address:
LIBERTY HIGH SCHOOL
Provider Business Practice Location Address City Name:
BETHLEHEM
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18018-2999
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-691-7200
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/30/2009