Provider First Line Business Practice Location Address:
1602 - 1604 W ALLEN ST
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:
18102-2012
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-437-8800
Provider Business Practice Location Address Fax Number:
610-437-8801
Provider Enumeration Date:
11/26/2012