Provider First Line Business Practice Location Address: 
1200 REEDSDALE 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: 
15233-2109
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
412-697-2011
    Provider Business Practice Location Address Fax Number: 
412-320-2378
    Provider Enumeration Date: 
02/09/2018