Provider First Line Business Practice Location Address:
28 N 7TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STROUDSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18360-2110
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-481-0481
Provider Business Practice Location Address Fax Number:
610-481-0486
Provider Enumeration Date:
08/09/2006