Provider First Line Business Practice Location Address:
1391 WASHINGTON BLVD
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:
15206-1801
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-661-9222
Provider Business Practice Location Address Fax Number:
412-661-9395
Provider Enumeration Date:
10/17/2005