Provider First Line Business Practice Location Address:
1210 S CEDAR CREST BLVD
Provider Second Line Business Practice Location Address:
STE 2400
Provider Business Practice Location Address City Name:
ALLENTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18103-6229
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
484-884-3333
Provider Business Practice Location Address Fax Number:
484-884-3366
Provider Enumeration Date:
11/20/2006