Provider First Line Business Practice Location Address:
2650 LEHIGH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WHITEHALL
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18052-3639
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
888-278-7702
Provider Business Practice Location Address Fax Number:
888-672-7702
Provider Enumeration Date:
02/03/2017