Provider First Line Business Practice Location Address:
7412 WASHINGTON 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:
15218-2521
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-271-1020
Provider Business Practice Location Address Fax Number:
412-271-1021
Provider Enumeration Date:
07/31/2006