Provider First Line Business Practice Location Address:
429 N COURTLAND ST
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:
18301-1906
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
484-225-4323
Provider Business Practice Location Address Fax Number:
570-664-6995
Provider Enumeration Date:
11/07/2019