Provider First Line Business Practice Location Address:
900 S WOODWARD 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:
18103-4179
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-435-1541
Provider Business Practice Location Address Fax Number:
484-664-7794
Provider Enumeration Date:
07/27/2016