Provider First Line Business Practice Location Address:
UPMC PASSAVANT PROFESSIONAL BLDG
Provider Second Line Business Practice Location Address:
9104 BABCOCK BLVD., SUITE 3112
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15237
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-366-3889
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/07/2006