Provider First Line Business Practice Location Address:
1101 W CEDAR 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:
18102-1346
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-434-3342
Provider Business Practice Location Address Fax Number:
610-434-0594
Provider Enumeration Date:
04/13/2007