Provider First Line Business Practice Location Address:
940 SCHECHTER DR STE 2B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WILKES BARRE TOWNSHIP
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18702-6771
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-243-9705
Provider Business Practice Location Address Fax Number:
855-266-3486
Provider Enumeration Date:
04/02/2025