Provider First Line Business Practice Location Address:
2400 CHEW 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:
18104-5586
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
484-664-3178
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/02/2020