Provider First Line Business Practice Location Address:
2 ANALOMINK RD
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:
18301-9001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-424-9752
Provider Business Practice Location Address Fax Number:
570-424-9758
Provider Enumeration Date:
10/15/2007