Provider First Line Business Practice Location Address:
447 OFFICE PLAZA
Provider Second Line Business Practice Location Address:
500 PLAZA COURT, STE D
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-424-5180
Provider Business Practice Location Address Fax Number:
570-421-8432
Provider Enumeration Date:
11/16/2006