Provider First Line Business Practice Location Address:
200 E BROWN 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:
18301-3006
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
272-762-4378
Provider Business Practice Location Address Fax Number:
577-042-0244
Provider Enumeration Date:
04/08/2025