Provider First Line Business Practice Location Address:
399 OAK 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:
18301-1402
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-424-2800
Provider Business Practice Location Address Fax Number:
570-424-2984
Provider Enumeration Date:
06/29/2007