Provider First Line Business Practice Location Address:
704 BRUSHY MOUNTAIN RD
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:
18301-9349
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-533-3457
Provider Business Practice Location Address Fax Number:
570-805-2218
Provider Enumeration Date:
03/24/2006