Provider First Line Business Practice Location Address:
605 SMITHFIELD CT
Provider Second Line Business Practice Location Address:
EAST STROUDSBURG
Provider Business Practice Location Address City Name:
EAST STROUDSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18301-9458
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-633-6114
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/28/2008