Provider First Line Business Practice Location Address:
5925 TILGHMAN ST STE 300
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALLENTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18104-8100
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-837-7138
Provider Business Practice Location Address Fax Number:
610-837-5235
Provider Enumeration Date:
08/03/2016