Provider First Line Business Practice Location Address:
3037 S PIKE AVE
Provider Second Line Business Practice Location Address:
#105
Provider Business Practice Location Address City Name:
ALLENTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18103-7650
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-282-0709
Provider Business Practice Location Address Fax Number:
610-282-0739
Provider Enumeration Date:
07/31/2006