Provider First Line Business Practice Location Address:
600 COMMERCE BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STROUDSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18360-6214
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-420-9227
Provider Business Practice Location Address Fax Number:
570-420-9244
Provider Enumeration Date:
12/28/2005