Provider First Line Business Practice Location Address:
55 OLD CLAIRTON RD
Provider Second Line Business Practice Location Address:
SUITE 3
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15236-3904
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-655-4470
Provider Business Practice Location Address Fax Number:
412-655-4471
Provider Enumeration Date:
10/24/2006