Provider First Line Business Practice Location Address:
748B MILFORD RD
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:
18301-1328
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-426-7514
Provider Business Practice Location Address Fax Number:
570-426-7516
Provider Enumeration Date:
07/12/2005