Provider First Line Business Practice Location Address:
239 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:
570-421-3872
Provider Business Practice Location Address Fax Number:
570-424-6631
Provider Enumeration Date:
11/07/2014