Provider First Line Business Practice Location Address:
41 E ELIZABETH AVE
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:
18018-6507
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-422-6666
Provider Business Practice Location Address Fax Number:
570-796-9246
Provider Enumeration Date:
02/04/2011