Provider First Line Business Practice Location Address:
51 N 3RD 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:
18360-2472
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-424-9096
Provider Business Practice Location Address Fax Number:
570-424-8759
Provider Enumeration Date:
09/09/2011