Provider First Line Business Practice Location Address:
41 EAST ELIZABETH AVENUE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BETHLEHEM
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18018-6504
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-868-2211
Provider Business Practice Location Address Fax Number:
610-868-8871
Provider Enumeration Date:
06/27/2006