Provider First Line Business Practice Location Address:
3 SOUTH MAIN STREET
Provider Second Line Business Practice Location Address:
SUITE #6
Provider Business Practice Location Address City Name:
ALLENTOWN
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08501
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-259-6200
Provider Business Practice Location Address Fax Number:
609-259-6288
Provider Enumeration Date:
11/01/2006