Provider First Line Business Practice Location Address:
2850 BROWNSVILLE ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SOUTH PARK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15129
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-835-4552
Provider Business Practice Location Address Fax Number:
412-835-4236
Provider Enumeration Date:
06/09/2005