Provider First Line Business Practice Location Address:
2527 E TEXAS 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:
18103-2834
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-437-3594
Provider Business Practice Location Address Fax Number:
973-663-0080
Provider Enumeration Date:
01/09/2007