Provider First Line Business Practice Location Address:
930 SPRINGHOUSE RD
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:
18104-3363
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-390-5014
Provider Business Practice Location Address Fax Number:
610-398-7134
Provider Enumeration Date:
02/27/2007