Provider First Line Business Practice Location Address:
100 EAGLESMERE CIR
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:
18301-3144
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-421-5123
Provider Business Practice Location Address Fax Number:
570-421-4125
Provider Enumeration Date:
12/14/2007