Provider First Line Business Practice Location Address:
292 FRANTZ RD, STE 102
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-476-3336
Provider Business Practice Location Address Fax Number:
570-426-2979
Provider Enumeration Date:
04/15/2010