Provider First Line Business Practice Location Address:
218 N 2ND ST
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:
18102-3508
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
484-640-1200
Provider Business Practice Location Address Fax Number:
484-460-1201
Provider Enumeration Date:
08/21/2021