Provider First Line Business Practice Location Address:
9090 FRANKLIN HILL RD
Provider Second Line Business Practice Location Address:
STE 202
Provider Business Practice Location Address City Name:
EAST STROUDSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18301-9105
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-223-2400
Provider Business Practice Location Address Fax Number:
570-223-2401
Provider Enumeration Date:
01/13/2015