Provider First Line Business Practice Location Address:
600 MAIN ST LOWR LEVEL
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:
18360-2051
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-421-8020
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/04/2010