Provider First Line Business Practice Location Address:
930 N 9TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STROUDSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18360-1208
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-629-4900
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/16/2019