Provider First Line Business Practice Location Address:
224 NAZARETH PIKE UNIT 22A
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:
18020-9084
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-365-8373
Provider Business Practice Location Address Fax Number:
610-365-2522
Provider Enumeration Date:
04/15/2021