Provider First Line Business Practice Location Address:
373 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:
18301-9101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-424-9970
Provider Business Practice Location Address Fax Number:
570-424-2899
Provider Enumeration Date:
03/20/2007