Provider First Line Business Practice Location Address:
51 N. BALPH 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:
15202
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-761-1919
Provider Business Practice Location Address Fax Number:
412-761-4383
Provider Enumeration Date:
04/17/2009