Provider First Line Business Practice Location Address:
285 PROSPECT 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:
18301-2943
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-426-2301
Provider Business Practice Location Address Fax Number:
570-426-2306
Provider Enumeration Date:
12/16/2008