Provider First Line Business Practice Location Address:
825 N CEDAR CREST 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:
18104-3437
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-820-4006
Provider Business Practice Location Address Fax Number:
610-820-4007
Provider Enumeration Date:
10/18/2006