Provider First Line Business Practice Location Address:
175 E BROWN ST STE 102
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:
18301-3098
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-422-6666
Provider Business Practice Location Address Fax Number:
570-796-9246
Provider Enumeration Date:
02/04/2011