Provider First Line Business Practice Location Address:
5239 HAMILTON 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:
18106-9153
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-398-2800
Provider Business Practice Location Address Fax Number:
610-366-1343
Provider Enumeration Date:
01/12/2006