Provider First Line Business Practice Location Address:
10 S. 13TH ST.,
Provider Second Line Business Practice Location Address:
2ND FLOOR
Provider Business Practice Location Address City Name:
ALLENTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18102
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-740-3031
Provider Business Practice Location Address Fax Number:
610-740-3032
Provider Enumeration Date:
06/21/2012