Provider First Line Business Practice Location Address:
137 N 2ND 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:
18101-1916
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-799-8600
Provider Business Practice Location Address Fax Number:
610-867-9655
Provider Enumeration Date:
06/16/2025