Provider First Line Business Practice Location Address:
401 SHADY AVE STE A104
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:
15206-4457
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-441-1683
Provider Business Practice Location Address Fax Number:
412-361-2295
Provider Enumeration Date:
09/16/2006