Provider First Line Business Practice Location Address:
400 PLAZA COURT
Provider Second Line Business Practice Location Address:
SUITE B
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-421-5530
Provider Business Practice Location Address Fax Number:
570-424-6528
Provider Enumeration Date:
06/27/2006