Provider First Line Business Practice Location Address:
28 N 7TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STROUDSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18360-2110
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-424-8306
Provider Business Practice Location Address Fax Number:
570-476-4580
Provider Enumeration Date:
01/22/2007