Provider First Line Business Practice Location Address:
1146 S. CEDAR CREST BLVD
Provider Second Line Business Practice Location Address:
2ND FLOOR
Provider Business Practice Location Address City Name:
ALLENTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18103-7938
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-366-9000
Provider Business Practice Location Address Fax Number:
610-366-9229
Provider Enumeration Date:
11/13/2011