Provider First Line Business Practice Location Address:
3131 COLLEGE HEIGHTS BLVD
Provider Second Line Business Practice Location Address:
SUITE 2200
Provider Business Practice Location Address City Name:
ALLENTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18104-4812
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-216-1989
Provider Business Practice Location Address Fax Number:
610-351-3974
Provider Enumeration Date:
10/04/2006