Provider First Line Business Practice Location Address:
2871 W EMMAUS AVE
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:
18103-7103
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-797-8245
Provider Business Practice Location Address Fax Number:
610-797-5287
Provider Enumeration Date:
02/07/2007