Provider First Line Business Practice Location Address:
3147 COLLEGE HEIGHTS 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:
18104-4813
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-841-2432
Provider Business Practice Location Address Fax Number:
610-841-4433
Provider Enumeration Date:
04/05/2006