Provider First Line Business Practice Location Address:
200 PLAZA CT
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:
18301-8259
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-422-1290
Provider Business Practice Location Address Fax Number:
570-517-0553
Provider Enumeration Date:
07/28/2006