Provider First Line Business Practice Location Address:
228 INDEPENDENCE ROAD
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:
18301-9435
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-420-9244
Provider Business Practice Location Address Fax Number:
570-420-9244
Provider Enumeration Date:
02/20/2007