Provider First Line Business Practice Location Address:
3131 COLLEGE HEIGHTS BLVD STE 1200
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:
18104-4858
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
106-439-8551
Provider Business Practice Location Address Fax Number:
610-439-1435
Provider Enumeration Date:
12/12/2011