Provider First Line Business Practice Location Address:
235 E BROWN ST
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:
18301-3013
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
272-212-4000
Provider Business Practice Location Address Fax Number:
866-230-6623
Provider Enumeration Date:
07/12/2011