Provider First Line Business Practice Location Address:
36 UNIVERSITY DR
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:
18015-3061
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-758-3870
Provider Business Practice Location Address Fax Number:
610-758-5833
Provider Enumeration Date:
09/08/2006