Provider First Line Business Practice Location Address:
237 E BROWN ST
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:
18301-3005
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-422-1405
Provider Business Practice Location Address Fax Number:
570-424-6631
Provider Enumeration Date:
11/08/2006