Provider First Line Business Practice Location Address:
1901 UNION BLVD
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:
18109-1676
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-437-5353
Provider Business Practice Location Address Fax Number:
215-646-6166
Provider Enumeration Date:
03/07/2008