Provider First Line Business Practice Location Address:
5850 ELLSWORTH 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:
15232-1775
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-404-8772
Provider Business Practice Location Address Fax Number:
412-404-8395
Provider Enumeration Date:
08/15/2006