Provider First Line Business Practice Location Address:
300 E BROWN ST STE C
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:
18301-3012
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-424-8657
Provider Business Practice Location Address Fax Number:
570-424-9783
Provider Enumeration Date:
07/11/2006