Provider First Line Business Practice Location Address:
1101 HAMILTON ST STE 160
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:
18101-1043
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
484-550-6388
Provider Business Practice Location Address Fax Number:
484-498-2420
Provider Enumeration Date:
01/08/2020