Provider First Line Business Practice Location Address:
1401 N CEDAR CREST BLVD
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
ALLENTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18104-2307
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-820-6888
Provider Business Practice Location Address Fax Number:
610-820-6818
Provider Enumeration Date:
01/14/2016