Provider First Line Business Practice Location Address:
748 MILFORD RD # A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EAST STROUDSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18301-1308
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-426-7507
Provider Business Practice Location Address Fax Number:
570-426-7509
Provider Enumeration Date:
12/05/2006