Provider First Line Business Practice Location Address:
101 N CEDAR CREST BLVD
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:
18104-4769
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-439-1196
Provider Business Practice Location Address Fax Number:
610-434-2200
Provider Enumeration Date:
08/22/2022