Provider First Line Business Practice Location Address:
243 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:
18301-3005
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-216-8242
Provider Business Practice Location Address Fax Number:
888-378-1829
Provider Enumeration Date:
02/27/2014