Provider First Line Business Practice Location Address:
235 E. BROWN STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
E. STROUDBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18332
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-421-3872
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/04/2012