Provider First Line Business Practice Location Address:
241 S 3RD ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COOPERSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18036-2109
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-200-8144
Provider Business Practice Location Address Fax Number:
610-735-9970
Provider Enumeration Date:
02/14/2024