Provider First Line Business Practice Location Address:
7310 TILGHMAN ST STE 100
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:
18106-9295
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-395-1980
Provider Business Practice Location Address Fax Number:
610-398-2158
Provider Enumeration Date:
05/20/2015