Provider First Line Business Practice Location Address:
511 E 3RD ST
Provider Second Line Business Practice Location Address:
2ND FLR
Provider Business Practice Location Address City Name:
BETHLEHEM
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18015-2072
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
484-526-6048
Provider Business Practice Location Address Fax Number:
484-526-3189
Provider Enumeration Date:
09/20/2006