Provider First Line Business Practice Location Address:
1245 S CEDAR CREST BLVD
Provider Second Line Business Practice Location Address:
STE 201
Provider Business Practice Location Address City Name:
ALLENTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18103-6258
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-437-1931
Provider Business Practice Location Address Fax Number:
610-433-8791
Provider Enumeration Date:
11/03/2009