Provider First Line Business Practice Location Address:
212 S DAUPHIN ST
Provider Second Line Business Practice Location Address:
SUITE B.
Provider Business Practice Location Address City Name:
ALLENTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18109-2728
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-841-3838
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/10/2008