Provider First Line Business Practice Location Address:
1800 N WASHINGTON AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SCRANTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18509-1700
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-267-5080
Provider Business Practice Location Address Fax Number:
570-696-0172
Provider Enumeration Date:
12/10/2008