Provider First Line Business Practice Location Address:
4502 HAMILTON BLVD
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:
18103-6019
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-395-7028
Provider Business Practice Location Address Fax Number:
610-395-7054
Provider Enumeration Date:
02/15/2007