Provider First Line Business Practice Location Address:
135 LAFAYETTE AVENUE
Provider Second Line Business Practice Location Address:
2ND FLOOR
Provider Business Practice Location Address City Name:
PALMERTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18071
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-826-4420
Provider Business Practice Location Address Fax Number:
610-826-6082
Provider Enumeration Date:
10/23/2006