Provider First Line Business Practice Location Address:
6977 RTE 611 OLYMPIA PLAZA
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-424-2025
Provider Business Practice Location Address Fax Number:
570-424-2028
Provider Enumeration Date:
12/09/2005