Provider First Line Business Practice Location Address:
52 SUMMIT ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW MILFORD
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18834-2313
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-955-5479
Provider Business Practice Location Address Fax Number:
570-955-5528
Provider Enumeration Date:
03/05/2024