Provider First Line Business Practice Location Address:
850 S 5TH 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:
18103-3308
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-776-3302
Provider Business Practice Location Address Fax Number:
610-776-8359
Provider Enumeration Date:
02/28/2024