Provider First Line Business Practice Location Address:
535 E EMMAUS AVE
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:
18103-5917
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-791-5977
Provider Business Practice Location Address Fax Number:
610-791-0694
Provider Enumeration Date:
05/19/2006