Provider First Line Business Practice Location Address:
319 S CEDAR CREST BLVD
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:
18103-3600
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-530-7785
Provider Business Practice Location Address Fax Number:
484-223-1898
Provider Enumeration Date:
05/17/2007