Provider First Line Business Practice Location Address:
179 INDEPENDENCE 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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-421-3401
Provider Business Practice Location Address Fax Number:
570-421-0560
Provider Enumeration Date:
03/09/2014