Provider First Line Business Practice Location Address:
539 CENTER STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BETHLEHEM
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18018
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
484-896-9161
Provider Business Practice Location Address Fax Number:
484-251-5150
Provider Enumeration Date:
04/23/2024