Provider First Line Business Practice Location Address:
1501 LEHIGH ST
Provider Second Line Business Practice Location Address:
SUITE 103
Provider Business Practice Location Address City Name:
ALLENTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18103-3880
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-628-8380
Provider Business Practice Location Address Fax Number:
610-628-8776
Provider Enumeration Date:
12/06/2010