Provider First Line Business Practice Location Address:
3001 EMRICK BLVD STE 120
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BETHLEHEM
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18020-8036
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-974-9490
Provider Business Practice Location Address Fax Number:
610-974-9791
Provider Enumeration Date:
06/23/2022