Provider First Line Business Practice Location Address:
37 DANSBURY TER
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:
18301-2421
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-476-9228
Provider Business Practice Location Address Fax Number:
579-476-6500
Provider Enumeration Date:
12/17/2007