Provider First Line Business Practice Location Address:
111 N. WASHINGTON AVENUE
Provider Second Line Business Practice Location Address:
111 N. WASHINGTON AVENUE
Provider Business Practice Location Address City Name:
SCRANTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18503
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-343-2383
Provider Business Practice Location Address Fax Number:
570-343-4800
Provider Enumeration Date:
05/21/2018