Provider First Line Business Practice Location Address:
500 PLAZA CT STE A
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:
18301-8262
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-476-3506
Provider Business Practice Location Address Fax Number:
570-420-2408
Provider Enumeration Date:
12/17/2024