Provider First Line Business Practice Location Address:
175 E BROWN ST STE 111
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:
18301-3098
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-213-9544
Provider Business Practice Location Address Fax Number:
570-421-2277
Provider Enumeration Date:
10/28/2026