Provider First Line Business Practice Location Address:
4416 PENN AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15224
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-681-2211
Provider Business Practice Location Address Fax Number:
412-687-0728
Provider Enumeration Date:
02/13/2008