Provider First Line Business Practice Location Address:
223 WASHINGTON ST
Provider Second Line Business Practice Location Address:
IST FLOOR OFFICE
Provider Business Practice Location Address City Name:
EAST STROUDSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18301-2862
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-424-6734
Provider Business Practice Location Address Fax Number:
570-424-6734
Provider Enumeration Date:
10/17/2008