Provider First Line Business Practice Location Address:
206 E BROWN ST
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:
18301-3006
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-476-3455
Provider Business Practice Location Address Fax Number:
570-420-2425
Provider Enumeration Date:
03/06/2017