Provider First Line Business Practice Location Address:
182 MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW MILFORD
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18834-2114
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-465-3444
Provider Business Practice Location Address Fax Number:
570-465-5400
Provider Enumeration Date:
07/04/2006