Provider First Line Business Practice Location Address:
1255 S CEDAR CREST BLVD
Provider Second Line Business Practice Location Address:
SUITE 3600
Provider Business Practice Location Address City Name:
ALLENTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18103-6256
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-770-1606
Provider Business Practice Location Address Fax Number:
610-740-0560
Provider Enumeration Date:
12/04/2006