Provider First Line Business Practice Location Address:
1347 HAUSMAN RD
Provider Second Line Business Practice Location Address:
CHILDREN'S ICM
Provider Business Practice Location Address City Name:
ALLENTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18104-9063
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-891-2000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/12/2008