Provider First Line Business Practice Location Address:
1278 YARDVILLE ALLENTOWN RD STE 5
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALLENTOWN
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08501-1866
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-259-2202
Provider Business Practice Location Address Fax Number:
609-259-6735
Provider Enumeration Date:
06/22/2006