Provider First Line Business Practice Location Address:
629 E. DRINKER STREET SECOND FLOOR
Provider Second Line Business Practice Location Address:
DUNMORE PROFESSIONAL PLAZA
Provider Business Practice Location Address City Name:
DUNMORE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18512-1255
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-212-1744
Provider Business Practice Location Address Fax Number:
570-800-1459
Provider Enumeration Date:
05/02/2012