Provider First Line Business Practice Location Address:
311 SOUTH CEDAR CREST BOULEVARD
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:
18103
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-432-8551
Provider Business Practice Location Address Fax Number:
610-432-1384
Provider Enumeration Date:
06/06/2006