Provider First Line Business Practice Location Address:
4145 ROUTE 22
Provider Second Line Business Practice Location Address:
PENN PLACE
Provider Business Practice Location Address City Name:
MONROEVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15146
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-858-5280
Provider Business Practice Location Address Fax Number:
412-858-5282
Provider Enumeration Date:
07/06/2009