Provider First Line Business Practice Location Address:
125 SMITHFIELD LN
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:
18301-8715
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
272-212-3872
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/17/2024