Provider First Line Business Practice Location Address:
128 N CRAIG ST
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:
15213-2744
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-682-0422
Provider Business Practice Location Address Fax Number:
412-682-2611
Provider Enumeration Date:
02/19/2007