Provider First Line Business Practice Location Address:
500 PLAZA CT
Provider Second Line Business Practice Location Address:
SUITE D
Provider Business Practice Location Address City Name:
EAST STROUDSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18301-8262
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-426-2330
Provider Business Practice Location Address Fax Number:
570-426-2331
Provider Enumeration Date:
06/17/2013