Provider First Line Business Practice Location Address:
526 INDEPENDENCE RD
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:
18301-9208
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-424-2929
Provider Business Practice Location Address Fax Number:
570-424-8501
Provider Enumeration Date:
08/20/2006