Provider First Line Business Practice Location Address:
18 NORTH 7TH STREET
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
STROUDSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18360
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-242-8979
Provider Business Practice Location Address Fax Number:
570-664-6283
Provider Enumeration Date:
03/01/2017