Provider First Line Business Practice Location Address:
28 E 3RD ST
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:
18015-1379
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-332-2044
Provider Business Practice Location Address Fax Number:
610-332-2402
Provider Enumeration Date:
01/15/2007