Provider First Line Business Practice Location Address:
2000 MILFORD ROAD
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:
18301-7800
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-424-8430
Provider Business Practice Location Address Fax Number:
610-515-6457
Provider Enumeration Date:
04/06/2007