Provider First Line Business Practice Location Address: 
2000 OXFORD DR STE 420
    Provider Second Line Business Practice Location Address: 
    Provider Business Practice Location Address City Name: 
BETHEL PARK
    Provider Business Practice Location Address State Name: 
PA
    Provider Business Practice Location Address Postal Code: 
15102-1841
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
412-942-8500
    Provider Business Practice Location Address Fax Number: 
412-942-8519
    Provider Enumeration Date: 
03/31/2013