Provider First Line Business Practice Location Address:
475 MORGAN HWY
Provider Second Line Business Practice Location Address:
CHARLES LUGER CENTER
Provider Business Practice Location Address City Name:
SCRANTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18508
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-963-2079
Provider Business Practice Location Address Fax Number:
570-963-1953
Provider Enumeration Date:
12/27/2006