Provider First Line Business Practice Location Address:
UPMC PASSAVANT MEDICAL BUILDING T, 9104 BABCOCK BLVD
Provider Second Line Business Practice Location Address:
SUITE 2120
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:
866-874-7483
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/24/2021