Provider First Line Business Practice Location Address:
151A SAWMILL CT
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:
18301-8180
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-223-5034
Provider Business Practice Location Address Fax Number:
570-223-5037
Provider Enumeration Date:
08/28/2019