Provider First Line Business Practice Location Address:
66 S COURTLAND ST
Provider Second Line Business Practice Location Address:
# 101
Provider Business Practice Location Address City Name:
EAST STROUDSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18301-2827
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-420-0606
Provider Business Practice Location Address Fax Number:
570-420-0646
Provider Enumeration Date:
11/13/2006