Provider First Line Business Practice Location Address:
125 S COURTLAND ST
Provider Second Line Business Practice Location Address:
CKD SERVICES OF E. STROUDSBURG
Provider Business Practice Location Address City Name:
EAST STROUDSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18301-2804
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-476-1606
Provider Business Practice Location Address Fax Number:
570-476-5737
Provider Enumeration Date:
04/06/2009