Provider First Line Business Practice Location Address:
500 PLAZA COURT
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:
18301-3124
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-426-2758
Provider Business Practice Location Address Fax Number:
570-426-2665
Provider Enumeration Date:
06/23/2005