Provider First Line Business Practice Location Address: 
239 EAST BROWN STREET
    Provider Second Line Business Practice Location Address: 
MEDICAL ASSOCIATES OF MONROE COUNTY
    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: 
570-421-3872
    Provider Business Practice Location Address Fax Number: 
570-424-6631
    Provider Enumeration Date: 
10/31/2006