Provider First Line Business Practice Location Address:
300 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:
18301-3007
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-476-2101
Provider Business Practice Location Address Fax Number:
570-476-5646
Provider Enumeration Date:
06/25/2007