Provider First Line Business Practice Location Address:
23 N COURTLAND 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:
18301-2101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-421-2929
Provider Business Practice Location Address Fax Number:
570-420-8897
Provider Enumeration Date:
08/31/2006