Provider First Line Business Practice Location Address:
21 CRYSTAL ST
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:
18301-2809
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-476-4100
Provider Business Practice Location Address Fax Number:
570-476-7669
Provider Enumeration Date:
02/03/2010