Provider First Line Business Practice Location Address:
2801 EMRICK BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BETHLEHEM
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18020-8015
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-829-4701
Provider Business Practice Location Address Fax Number:
610-829-2414
Provider Enumeration Date:
12/29/2006