Provider First Line Business Practice Location Address:
300 HALKET ST DEPT OF
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:
15213
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-622-7865
Provider Business Practice Location Address Fax Number:
412-641-3634
Provider Enumeration Date:
10/12/2009