Provider First Line Business Practice Location Address:
729 SARAH ST
Provider Second Line Business Practice Location Address:
2ND FLOOR
Provider Business Practice Location Address City Name:
STROUDSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18360-2262
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-420-9807
Provider Business Practice Location Address Fax Number:
570-424-5283
Provider Enumeration Date:
03/07/2013