Provider First Line Business Practice Location Address:
7350 TILGHMAN ST STE 120
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:
18106-9012
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
484-965-9966
Provider Business Practice Location Address Fax Number:
484-231-8631
Provider Enumeration Date:
10/09/2025