Provider First Line Business Practice Location Address:
206 EAST BROWN STREET
Provider Second Line Business Practice Location Address:
EAST STROUDSBURG
Provider Business Practice Location Address City Name:
EAST STROUDSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18301-3094
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-476-3475
Provider Business Practice Location Address Fax Number:
703-563-6256
Provider Enumeration Date:
04/06/2006