Provider First Line Business Practice Location Address:
400 N 17TH ST
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-433-2021
Provider Business Practice Location Address Fax Number:
610-433-7856
Provider Enumeration Date:
11/01/2006