Provider First Line Business Practice Location Address:
38 N 4TH ST
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:
18102-3448
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-782-3270
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/28/2023