Provider First Line Business Practice Location Address:
200 PROSPECT ST
Provider Second Line Business Practice Location Address:
3 KOHLER FIELDHOUSE UNIVERSITY
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-422-3065
Provider Business Practice Location Address Fax Number:
570-422-3616
Provider Enumeration Date:
07/25/2006