Provider First Line Business Practice Location Address:
1539 LEHIGH 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:
18103-3813
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
484-664-1300
Provider Business Practice Location Address Fax Number:
484-750-2654
Provider Enumeration Date:
02/05/2020