Provider First Line Business Practice Location Address:
1028 S CEDAR CREST 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:
18103-5444
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-776-2005
Provider Business Practice Location Address Fax Number:
610-776-1475
Provider Enumeration Date:
11/21/2024