Provider First Line Business Practice Location Address:
531 MOUNT PLEASANT DRIVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SCRANTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18503-3800
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-342-8500
Provider Business Practice Location Address Fax Number:
570-342-0924
Provider Enumeration Date:
06/19/2009