Provider First Line Business Practice Location Address:
3445 HIGH POINT BLVD
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
BETHLEHEM
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18017-7809
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-866-5555
Provider Business Practice Location Address Fax Number:
610-866-2006
Provider Enumeration Date:
01/16/2009