Provider First Line Business Mailing Address:
15 PUBLIC SQUARE, SUITE 600
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WILKES-BARRE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18701-1702
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
570-826-1777
Provider Business Mailing Address Fax Number:
570-823-3040